Casualty Specialist

Trexis Insurance • Phoenix, AZ

21d • $73,611 - $92,019

About The Position

The Casualty Specialist proactively investigates coverage, liability, and damages; obtains medical documentation; and evaluates injury claims for settlement or denial as appropriate. The role sets adequate reserves and reevaluates them regularly. Work quality is assessed through objective measurements, manager review, and regular Department Audit Team audits. Individual results are compared with prior and current peer results by venue, and representatives may occasionally assist teammates. The role also contributes to performance metrics based on average BI/UMBI payments for the Casualty and Litigation Units. The specialist maintains current, accurate knowledge of applicable venues and brings BI settlement authority requests over $10,000 to the Claim Committee. Strong file documentation and preparation are required for discussions with management or the committee.

Requirements

• College degree or commensurate work experience.
• Minimum of 2 years handling injury claims.
• Strong adjusting and negotiation skills.
• Excellent organization and problem-solving skills.
• Excellent oral and written communication skills to quickly build rapport.
• Knowledge of claims best practices, tort laws in the states where the company does business, and Department of Insurance regulations, particularly each state's fair claims practice act.
• General office skills, including faxing, copying, and filing.
• Proficient typing skills.

Responsibilities

• Proactively investigate coverage, liability, and damages.
• Obtain medical documentation to evaluate and settle or deny injury claims as appropriate.
• Set adequate reserves and reevaluate them regularly.
• Maintain work quality according to objective measurements, manager evaluation, and Department Audit Team audits.
• Meet performance metrics, including comparisons of individual results by venue and average BI/UMBI payments for the Casualty and Litigation Units.
• Assist teammates on occasion.
• Maintain current, accurate working knowledge of venues in the states handled.
• Bring BI settlement authority requests over $10,000 to the Claim Committee.
• Document files and prepare them for discussions with management and/or the Claim Committee.

Benefits

• Opportunity for annual performance bonus.
• Health, dental, supplemental cancer, and vision insurance.
• 401(k) plan.
• Paid Time Off Bank, including 3 days of PTO available after the first 80 hours worked for new hires.
• Short-term and long-term disability.
• Flexible healthcare and childcare spending accounts for tax savings.
• Opportunities for advancement.
• Continuous training and support throughout the career.
• Flexible work-from-home options.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level