Casualty Claims Specialist

First Chicago Insurance Company (FCIC)•Houston, TX

About The Position

First Chicago Insurance Company is seeking an experienced Casualty Claims Specialist to investigate and settle automobile bodily injury claims. The role handles complex liability claims requiring additional investigation and verification, as well as casualty claims involving severe injuries that may result in extended disability or bodily injury and coverage-related litigation. The specialist reviews assigned files and determines an appropriate course of action, conducts and documents thorough investigations, processes bodily injury and coverage claims under established procedures, and prepares claim evaluations for settlement authority. The role works with third parties, plaintiff counsel, the Claim Director, and the Chief Operating Officer to determine necessary injury and coverage investigations. It also involves researching case and statutory law, documenting policy status and claim details, notifying reinsurers on qualifying claims, and maintaining reasonable expense factors.

Requirements

  • 3–5 years of casualty claims experience.
  • Knowledge of legal and medical terminology.
  • Excellent negotiation, communication, written, organizational, and interpersonal skills.
  • Ability to pass written examinations where required by state statutes to become a licensed claims adjuster.
  • Proficiency in Microsoft Office products.

Responsibilities

  • Review each assigned file and determine a course of action using technical knowledge and experience to support final disposition of the loss.
  • Conduct thorough investigations and maintain accurate, relevant documentation of claim activity, including applicable coverage, liability status, and damages.
  • Process bodily injury and coverage claims in accordance with established office procedures.
  • Work with third parties, plaintiff counsel, the Claim Director, and the Chief Operating Officer to determine necessary injury and coverage investigations.
  • Research case and statutory law to conduct proper claim investigations.
  • Document policy status, coverage, liability, and damages on all claims, and notify the reinsurer on qualifying claims.
  • Prepare and present claim evaluations for the appropriate settlement authority.
  • Maintain reasonable expense factors.
  • Perform other duties as assigned.

Benefits

  • Competitive salaries
  • Training and development
  • Medical and dental benefits
  • Telemedicine benefit
  • 401(k) with company match
  • Paid time off and paid holidays
  • Tuition reimbursement training programs
  • Wellness program
  • Company-sponsored events
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