Claim Technical Specialist- Equine

Core Specialty Insurance Holdings, Inc.•Lexington, FL

2d•Hybrid

About The Position

As the Claims Technical Specialist, you will handle Claims for Equine related policies. The ideal candidate will be located in either Lexington, KY or Ocala. FL. Key Accountabilities/Deliverables: Ensure compliance with established claim handling guidelines regarding coverage, investigation, evaluation, and resolution of claims. Gather and analyze information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decisions within established authority levels and identify potential issues. Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information. Work with external customers as well as agents to address questions, resolve problems and maintain rapport while providing an exceptional level of customer service. Create innovative and effective approaches and solutions that have a positive impact on business results and delivers superior claim services. Direct and monitor assignments to experts and outside counsel. Participate in special projects or assist other team members as needed. In addition to the above key responsibilities, may be required to undertake other duties from time to time as the Company may reasonably require. Technical Knowledge and Understanding: Possesses a detailed understanding of good faith claims handling. Have working knowledge of state specific claim handling guidelines and legal principles as they pertain to equine insurance. Computer skills – good working knowledge of MS Office Previously utilized an electronic claim system Possess valid adjuster license Successful completion of insurance courses or industry designations Experience: College degree preferred Equine Industry knowledge preferred A minimum of 5 years’ experience in equine, livestock or farm insurance claims Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position. #LI-Hybrid - At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program Core Specialty offers a diversified range of property and casualty insurance products for small to mid-sized businesses. From underwriting offices spanning the U.S., the Company focuses on niche markets, local distribution, and superior underwriting knowledge, offering traditional as well as innovative insurance solutions to meet the needs of its customers and brokers. For further information about Core Specialty, please visit www.corespecialtyinsurance.com. In compliance with the Transparency in Coverage rule, issued in 2020 by US Departments of Health, Human Services, Labor and Treasury our health plan’s machine-readable files (MRFs) can be accessed via www.Cigna.com.

Requirements

Possesses a detailed understanding of good faith claims handling.
Have working knowledge of state specific claim handling guidelines and legal principles as they pertain to equine insurance.
Good working knowledge of MS Office
Previously utilized an electronic claim system
Possess valid adjuster license
Successful completion of insurance courses or industry designations
A minimum of 5 years’ experience in equine, livestock or farm insurance claims
Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position.

Nice To Haves

College degree preferred
Equine Industry knowledge preferred

Responsibilities

Ensure compliance with established claim handling guidelines regarding coverage, investigation, evaluation, and resolution of claims.
Gather and analyze information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decisions within established authority levels and identify potential issues.
Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
Work with external customers as well as agents to address questions, resolve problems and maintain rapport while providing an exceptional level of customer service.
Create innovative and effective approaches and solutions that have a positive impact on business results and delivers superior claim services.
Direct and monitor assignments to experts and outside counsel.
Participate in special projects or assist other team members as needed.
May be required to undertake other duties from time to time as the Company may reasonably require.