Claims Specialist

BP&C•Omaha, NE

2d•Onsite

About The Position

Farm Family is seeking a highly capable Claims Specialist to join their team and work from their Omaha, NE office. This is a 100% in-office position where employees work together five days a week to strengthen culture, build team connections, and drive profitability. The role reports to a manager based in New York and is responsible for the investigation, evaluation, negotiation, and settlement of property claims. This includes assessing coverage, contacting customers, investigating loss circumstances, arranging inspections and experts, collecting information, evaluating claim complexity, and negotiating settlements. Specialists must comply with insurance regulations, statutes, and case law, and work closely with other departments, vendors, and defense counsel. Claim values can range from nominal amounts to tens of thousands of dollars. The Claims Specialists contribute to providing superb results for clients.

Requirements

Bachelor’s degree from an accredited university required.
Two or more insurance designations or four additional years of related experience adjudicating claims beyond the minimum experience required below may be substituted in lieu of a degree.
A minimum of one years' experience adjudicating claims is required.
Must be able to obtain necessary state licenses and maintain Continuing Education (CE) requirements as needed.
Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
A strong focus on execution in getting things done right.
Proven ability to consistently produce and deliver expected results to all stakeholders.
Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Must have excellent communication skills and the ability to build lasting relationships.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Desire to work in a fast-paced environment.
Excellent evaluation and strategic skills required.
Strong claim negotiation skills a must.
Ability to take proactive and pragmatic approach to negotiation.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
Must demonstrate the ability to exercise sound judgment working under technical direction.
Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants.
Polished and professional written and verbal communication skills.
Presents information clearly, concisely, and accurately.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

Nice To Haves

Working knowledge of Guidewire ClaimsCenter strongly preferred.
Insurance designations, such as AIC, AINS, FCLS, & PCLS.

Responsibilities

Adjudicate moderate to serious first party property/physical damage claims, according to applicable state mandates, with some impact on the overall achievement of results for the team.
Provide laser-focused customer service to clients by providing superior claims outcomes and developing meaningful and long-lasting connections with insureds and brokers.
Analyze claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
Investigate claims promptly and thoroughly, including interviewing all involved parties to determine the facts of the loss.
Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
Create and review reserves in line with market and Farm Family's reserving policy.
Determine the appropriate method of inspection or review of facts.
Identify, assign, and coordinate the assignment and coordination of expertise resources to assist in case resolution.
Ensure compliance with state regulations and requirements.
Settle straightforward claims in line with authority limits and adhere to organizational referral procedures.
Negotiate in a timely and effective manner to provide cost-effective solutions for the company and its customers within own limits using a range of negotiation styles.
Prepare reports for file documentation.
Report to claims management and underwriters on claims trends and developments.
Process mail and prioritize workload.
Complete telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Have an appreciation and passion for strong claim management.