Claims Specialist - Tier 2 (Risk Management)

Hillsborough County•Tampa, FL

9d•Onsite

About The Position

The Claims Specialist investigates, evaluates, and resolves claims in compliance with laws and policies. At the Tier 2 Claims Specialist level, this role handles complex cases, litigation, and stakeholder management. The ideal candidate for this exciting role in a dynamic team environment should possess a bachelor’s degree and have over five years of experience in adjusting liability claims. A Florida 620 adjuster's license is required, as it demonstrates the necessary expertise and commitment to excellence in the field. This individual should be a proactive problem solver with strong communication & organizational skills, and able to thrive in a collaborative setting while delivering exceptional results.

Requirements

Bachelor's Degree
Possess five plus years of adjusting commercial automobile and liability claims.
Florida 620 adjusters license is required.
Ability to adjust complex Commercial Automobile and Liability claims to proper conclusion, including handling complex litigation and coverage issues.
Demonstrated proficiency in interviewing, problem solving, communication (verbal and written), and time management and conflict resolution skills.
Must be service oriented with the ability to work in a team environment, collaborate with others and build strong customer relationships.
Ability to apply computer applications and use related software.
Knowledge of statutes, case law and standardized practices, regulations and ordinances applicable to multi-line claims administration.
Knowledge of insurance principles, procedures, government self-insurance programs and industry practices.
Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Understands the implications of new information for both current and future problem-solving and decision-making.
Ability to communicate with internal and external customers -- represents the organization to customers, the public, government, and other external sources. This information can be exchanged in person, in writing, or by telephone or e-mail.
Graduation from an accredited four-year college or university in a related field of work; AND Two (2) years of experience directly related to the duties listed above.
620 Independent Adjuster license or equivalent (must be able to renew and self-appoint every two years).

Nice To Haves

Three (3) plus years of adjusting complex Commercial Automobile and Liability claims to proper conclusion, including handling complex litigation and coverage issues preferred.
An equivalent combination of education, training and experience that would reasonably be expected to provide the job-related competencies noted below. (For education and experience only, does not include legally required Licenses or Certifications.)

Responsibilities

Conduct comprehensive investigations of losses using appropriate techniques, including interviews, recorded statements, documentation and data gathering, and securing/preserving evidence.
Verify, analyze, and accurately apply coverage in accordance with County policies and applicable laws.
Develop strategies for claim resolution and negotiate settlements to achieve timely conclusions.
Determine the appropriate outcome of claims (e.g., pay, deny, compromise) based on analysis of facts, liability, and statutory/case law.
Assess the need for and provide directions to third-party administrators (TPA), legal counsel, or other technical experts.
Monitor and control claims costs to ensure cost-effective outcomes.
Evaluate liability and damages, identifying subrogation, salvage, or fraud/suspicious claim opportunities.
Prepare timely, accurate, and concise reports as required.
Promptly establish and maintain accurate reserves throughout the life of the claim.
Performs other related duties as required.