Claim Specialist – Auto and General Liability

Claim Specialist

GENERAL SUMMARY

Handles moderately complex to more complex claims, preferably those arising out of a specific program or within specific state jurisdictions.

ESSENTIAL RESPONSIBILITIES & DUTIES

• Review and analyze coverages that apply to the claim
• Prepare draft coverage letters as necessary
• Plan and execute investigations of liability and damages on both first and third party claims
• Apply facts as determined by investigation to the particular law of the jurisdiction to properly evaluate claim exposures
• Establish reserves based on evaluation and adjust reserves as necessary with all new information
• Work with defense counsel to establish agreed upon somewhat complex litigation plans and budgets on all litigated files
• Determine and execute proper disposition plans on all claims, negotiating claims to a conclusion to minimize litigation where appropriate
• Control expenses such as independent adjuster and defense costs
• Minimizes losses through identification and collection of subrogation and prompt disposal of salvage
• Provide excellent customer service to both Partner Agents, insureds and claimants
• Develops knowledge of program specific business
• Work closely with Corporate Claims in the investigation, analysis and settlement of complex and high exposure claims
• Achieve quality initiatives
• Assists in the mentoring and training of less experienced staff
• Other duties as assigned by Supervisor or Manager

Education

• Bachelor’s degree preferred
• Professional insurance designation desirable

Experience

• Minimum of 2-5 years with some complex casualty or auto claim handling experience is required

• Experience handling litigated claims and coverage issues is required

• Experience with Commercial policy forms preferred

• Inland Marine and/or Property claims experience a plus
• Alternative Dispute Resolutions and structured settlements. 

Skills         

• Licensed as an adjuster or the ability to be licensed in multiple states

• In-depth knowledge of the Commercial Auto and General Liability policy and coverage        

•  Ability to analyze contracts and indemnity agreement
• Able to analyze coverage issues, as well as prepare Reservation of Rights letters and disclaimers
• Ability to work in a team environment

• Excellent verbal and written skills are necessary

• Strong attention to detail     

• Proficient in the use of Microsoft Office products (i.e. Word, Excel)

• Ability to partner with policyholders and defense counsel in litigation

Other

• Minimal travel required (approximately 5%)

Physical

• Occasional bending, reaching, and light physical effort (under 10 pounds) required.

Keywords:

Claim Specialist, Claim, specialist, liability, insurance, claim, coverage, adjuster