Claims Specialist-Auto & General Liability

EPIC Brokers

9h•$50,000 - $65,000•Hybrid

About The Position

JWF Specialty is a division of EPIC. JWF is a best-in-class Third Party Administrator (TPA) and the TPA of choice for EPIC. They're a successful and rapidly growing division with a strong reputation for innovation and customer satisfaction. The Claims Specialist handles a caseload of approximately 130 auto and general liability claims for primarily public-sector clients. The position requires establishing facts of loss, coverage analysis, investigation, liability/negligence determination, damage assessment, settlement negotiations, identifying potential fraud, and appropriate use of authorized vendors. The Claims Specialist must also complete timely and appropriate reserve analysis. All file handling must be within state statutes, client claims handling guidelines and JWF Best Practices.

Requirements

At least 5+ years of experience handling auto property and/or general liability claims.
Candidates with professional communication skills – both written and verbal. Ideal candidates can successfully pivot between providing detailed and accurate written communication, as well as picking up the phone and having a detailed verbal conversation.
High attention to detail, and the ability to learn and adhere to instructions that vary client by client.
Strong relationship-building skills and the ability to be flexible and build trust with clients.
Positive and outgoing disposition, eager to work as a team but also functions well working independently.
5+ years auto property damage claim experience preferred.
Excellent interpersonal, communication, organizational and presentation skills
Computer proficiency, working knowledge of Microsoft Office products
Advance level of interpersonal skills to handle sensitive and confidential situations and information.
Requires advanced ability to negotiate claims.
Requires advanced ability to work independently.
Requires an advanced level of organization and time management skills.
Must possess advanced level written and verbal communication skills.
Must be able to explain and appropriately respond to auditors, clients, and potential clients during in-person presentations.
Must be able to pass all training courses within 12 months with a score of 80% or above.
High School Diploma or GED required.
Must possess required jurisdictional licensing. (Or be willing, as a condition of employment, to obtain one within 30 days of start date).

Nice To Haves

TPA and/or public sector claims experience is nice to have but not required.
Bachelor's degree from an accredited college or university preferred.

Responsibilities

Identify, analyze, and confirm coverage.
Contact appropriate parties and providers to determine liability, compensability, negligence, and subrogation potential.
Contact appropriate parties to obtain any needed information and explain coverage as appropriate. Continue contact throughout the life of the file as appropriate.
Answer phones, check voice mail regularly and return calls within 24 business hours.
Assist management when required with projects as requested.
Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate.
Identity claims with no negligence to deny liability.
Identify cases for settlement. Evaluate claims and request authority and negotiate settlement.
Recognize and report potential fraud cases.
Establish ultimate reserves (anticipated cost to bring file to close based on known facts) as soon as practical and monitor to adjust at the time of any exposure changing event.
Verify all provider bills have been appropriately reviewed and paid within standard timeframes.
Must pass all internal and external audits, which include those performed by regulatory agencies, carriers, and clients.
Follow reporting requests as outlined by client special handling instructions
Document plan of action in the claim system and set appropriate diaries.
Maintain a regular diary and follow up as required
Close all files as appropriate in a timely and complete manner.
Maintain 1:1 closing ratio.
Other jobs duties as assigned.

Benefits

Generous Paid Time off
Managed PTO for salaried/exempt employees (personal time off without accruals or caps); 22 PTO days starting out for hourly/non-exempt employees; 12 company-observed paid holidays; 4 early-close days
Generous leave time options: Paid parental leave, pregnancy disability and bonding leave, and organ donor/bone marrow donor leave
Generous employee referral bonus program of $1,500 per hired referral
Employee recognition programs for demonstrating EPIC’s values plus additional employee recognition awards and programs (and trips!)
Employee Resource Groups: Women’s Coalition, EPIC Veterans Group
Professional growth & development: Mentorship Program, Tuition Reimbursement Program, Leadership Development
Unique benefits such as Pet Insurance, Identity Theft & Fraud Protection Coverage, Legal Planning, Family Planning, and Menopause & Midlife Support
Additional benefits include (but are not limited to): 401(k) matching, medical insurance, dental insurance, vision insurance, and wellness & employee assistance programs
50/50 Work Culture: EPIC fosters a 50/50 culture between producers and the rest of the business, supporting collaboration, teamwork, and an inclusive work environment. It takes both production and service to be EPIC!
EPIC Gives Back – Some of our charitable efforts include Donation Connection, Employee Assistance Fund, and People First Foundation