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Senior Casualty Claims Specialist - Remote
Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Accountable for security of financial processing of claims, as well as security information contained in claims files. Updates files and provides comprehensive reports as required. Responsible for managing the practices and billing activities of outside and in-house counsel. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. 1+ years Personal Lines Third Party Auto Casualty Experience. 1+ years Attorney Represented Experience. Strong written and oral communications skills required. Good interpersonal, analytical, investigative, and negotiation skills required. Customer service experience preferred. Demonstrated competency of legal liability, general insurance policy coverage and State Tort Law. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 12-18 months of directly related experience. Ability to obtain proper licensing as required.
