Claims Specialist (Fidelity Lines) ( Remote ) ( Full-Time )

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Claims Specialist (Fidelity Lines) ( Remote ) ( Full-Time )
Location: Remote
Salary: $145K - $170K Base Salary

Must Haves:

• Minimum of 3 to 6 years of experience at either a specialty insurance carrier and/or a law firm.
• Significant fidelity, crime, and financial institutions E&O and D&O experience
• Fidelity Lines' examples of these claims refer to losses due to employee dishonesty or fraud.
• These Fidelity claims are typically covered under fidelity insurance policies.
• Fidelity Claims protects businesses from financial losses caused by theft or embezzlement.
• Claims involving Fidelity Lines Coverage may include direct losses and related legal expenses.
• Claims can arise from various scenarios, including forgery and computer fraud.
• Proper documentation and evidence are crucial for successful claims processing.
• A bachelor's degree and a Juris Doctor from an accredited law school are required.
• Candidates will be required to obtain and maintain insurance adjuster licenses.

Job Summary

The Fidelity Lines Claims Specialist handles highly complex claim assignments that require specialized knowledge.
The role handles activities, including but not limited to coverage analysis, liability and damage investigations, litigation, and expense management.
The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations, and ensures appropriate file documentation.

Duties And Responsibilities

• Directly handle, manage, and/or oversee financial lines, fidelity and crime claims, and financial institution E&O and D&O claims.
• Handle claims in accordance with Claim Handling Best Practices in all phases of the claim, including through initial contact, investigation of the claim, evaluation of the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.
• Provide top-notch customer service through all interactions and communications, including with internal and external customers and business partners.
• Review and evaluation of policies to determine coverage.
• Resolve coverage-related matters working collaboratively with outside counsel when necessary.
• Complete written reports and present claims to management, underwriting, actuary, and reinsurers on claim developments as needed.
• Adhere to all statutory regulations and the Unfair Claims Practices Act.
• Consistently communicate claim developments, exposure analyses, and requests for authority to claims management.
• Participate in mediations, settlement conferences, and otherwise see claims through to resolution.
• Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.
• Along with underwriting, attend current and prospective meetings with insureds and brokers.
• Work with and manage outside vendors, including outside attorneys, to manage budgets and oversee litigation.

Qualifications

• Minimum of 3 to 6 years of experience at either a specialty insurance carrier and/or a law firm.
• Significant fidelity, crime, and financial institutions E&O and D&O experience
• A bachelor's degree and a Juris Doctor from an accredited law school are required.
• Candidates will be required to obtain and maintain insurance adjuster licenses.
• Excellent written communication skills.
• Excellent verbal and interpersonal communication skills, enabling interaction with all levels of management and the employee population.
• Strong analytical, investigative, listening, and negotiation skills.
• Experience multi-tasking, prioritizing work, and working effectively in a team environment, while maintaining attention to detail.
• Experience working in a fast-paced environment, completing work with limited supervision.
• Experience with Microsoft Windows, Outlook, and Excel, or transferable software packages.
• Ability and willingness to travel as needed.