Claims Specialist
Berkley•Atlanta, GA
•Remote
About The Position
The Claims Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of medium exposure and complexity. This individual will work under limited supervision, with a remote manager.
Requirements
- Four (4) year college degree, or commensurate experience and training
- 3-5 or more years claims handling experience or equivalent experience
- In-depth knowledge of the insurance industry, including legal and regulatory environments
- A strong functional and developing knowledge of substantive laws and legal procedure
- Applicable adjusters license(s) to include: CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY
Nice To Haves
- AIC, SCLA, CRIS or other similar industry designations preferred
Responsibilities
- Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
- Investigate and evaluate liability
- Investigate and evaluate damages
- Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
- Establish timely reserves within authority and re-evaluate throughout the life of the claim
- Maintain up-to-date, appropriate file documentation and written file notes
- Maintain an active diary and productive file inventory
- Timely completion of all required large loss reporting
- Negotiate settlements within authority limit granted, and attend mediations, mandatory settlement conferences, and/or alternative dispute resolutions
- Proactively control the work product and expense of outside vendors
- Develop and maintain positive customer relationships and provide superior customer service
- Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
- Ability to Work with designated assigned accounts
- Recognize and investigate fraud
- Comply with deductible/self-insured retention recovery protocol
- Meet and maintain all state licensing requirements at all times (see qualifications below)
- Adhere to all statutory regulations, unfair claims practices acts, and corporate best practices
- All other duties as assigned
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
