About The Position

Under direct supervision, the Associate Claims Specialist develops the knowledge and skills needed to investigate claims, make liability and compensability decisions, evaluate losses, negotiate settlements, and manage commercial property/casualty and disability claims. The role includes a comprehensive training program, one-on-one mentoring, and on-the-job training. The employee assists in providing service to policyholders and customers on mid-sized and/or large commercial accounts.

Requirements

  • Effective interpersonal, analytical, and negotiation abilities.
  • Ability to communicate information clearly and concisely, with an appropriate level of detail.
  • Demonstrated ability to build and maintain effective relationships.
  • Demonstrated success in a professional environment.
  • Effective analytical skills to gather information, analyze facts, and draw conclusions, normally acquired through a bachelor's degree or equivalent.
  • Licensing may be required in some states.

Nice To Haves

  • Success in a customer service or retail environment.
  • Knowledge of legal liability, insurance coverage, and medical terminology.

Responsibilities

  • Investigate new claims by reviewing first reports of loss and supporting materials, identifying the best initial contacts to gather information, referring tasks to auxiliary units as needed, and documenting the file.
  • Establish action plans based on case facts, best practices, protocols, jurisdictional issues, and available resources.
  • Manage an inventory of property/casualty and disability claims, including workers' compensation, general liability, commercial automobile, property, and group benefits claims.
  • Evaluate compensability, liability, and losses, and negotiate settlements within prescribed limits.
  • Establish accurate loss cost estimates using available resources, special service instructions, and market protocols.
  • Confirm or deny coverage based on investigation facts and advise policyholders on the proper course of action.
  • Use loss management techniques and resources, including the Immediate Contact Plan, L9 check, Disability Management, open end release, and first call settlements.
  • Update files and provide comprehensive reports as required.
  • Assist in providing service to policyholders and customers on mid-sized and/or large commercial accounts.

Benefits

  • Comprehensive benefits
  • Workplace flexibility
  • Professional development opportunities
  • Opportunities provided through Employee Resource Groups
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