Claims Specialist

First Student•Cincinnati, OH

About The Position

Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $500k, including claims that are in litigation. Major Responsibilities Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file. Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing, and analyzing reports and related bills. Evaluate and determine appropriate reserving levels in compliance with claim guidelines Select and direct independent external service providers (e.g. Lawyers, Independent Adjusters, Experts) Identifies and addresses subrogation/contribution/SIU opportunities. Negotiate and resolve non-complex claims ensuring cost effective, service orientated solutions Ensure all claims handled within authority limits, and in line with Claim’s procedures and guidelines Refer cases outside of authority level, preparing referral documentation and materials as appropriate Support establishment of claims management procedures Claims Processing & Administration Disclaimer Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This job description reflects management’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

Requirements

Bachelors’ degree with a minimum of 7 years of overall experience in the insurance industry or equivalent. Equivalent is defined as a high school diploma and 8 years of experience.
Extensive experience working with auto and general liability, garage, and transportation claims
Experience handling litigated files and direction of defense counsel.
Excellent negotiation skills.
Licensure as required by respective state(s).
Excellent oral and written communication skills.
Ability to organize, multi-task and prioritize work.
Excellent customer service and interpersonal skills.

Nice To Haves

CPCU, AIC, SCLA or other insurance related studies are beneficial.

Responsibilities

Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file.
Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing, and analyzing reports and related bills.
Evaluate and determine appropriate reserving levels in compliance with claim guidelines
Select and direct independent external service providers (e.g. Lawyers, Independent Adjusters, Experts)
Identifies and addresses subrogation/contribution/SIU opportunities.
Negotiate and resolve non-complex claims ensuring cost effective, service orientated solutions
Ensure all claims handled within authority limits, and in line with Claim’s procedures and guidelines
Refer cases outside of authority level, preparing referral documentation and materials as appropriate
Support establishment of claims management procedures
Claims Processing & Administration