Complex Case Unit

Canal Insurance Company • Greenville, SC

1d

About The Position

The Complex Case Unit position is responsible for providing a high level of technical knowledge while working as a critical resource on complex commercial claims and coverage issues.

Requirements

• Bachelor’s Degree required.
• Adjuster licensing required.
• Minimum 10 years’ experience adjusting bodily injury claims required.
• Experience adjusting commercial auto claims required.
• Advanced knowledge of insurance and tort law, advanced understanding of legal principles and terminology as it relates to insurance operations, and advanced knowledge of medical terminology and procedures required.
• Advanced knowledge of insurance coverage required.
• Intermediate computer skills (word processing, spreadsheets, databases, Internet, e-mail) required.
• Constant use of vision, hearing, and communication (oral and written/in-person and via telephone).
• Frequent concentration, standing, walking, handling, reaching, and grasping.
• Occasional bending, kneeling, and lifting (up to 25 lbs.)
• Heavy use of computer and office equipment.
• Frequent travel required.

Nice To Haves

• Professional insurance designation preferred.
• Experience adjusting transportation (trucking) liability claims preferred.

Responsibilities

• Verify coverage/coverage primacy as new losses are received.
• Adjust complex claims with significant and potentially excess exposure, including investigating, evaluating, negotiating, documenting, and validating to conclusion within authority level.
• Evaluate options on problematic files and choose the best solutions.
• Collaborate internally regarding complex coverage issues and claims resolution.
• Monitor and manage approved independent adjusters and attorneys in the field, including attorneys assigned in the defense of the insured.
• Attend mediations and trials as a representative of the Company.
• Communicate with interested parties (i.e., insured, claimants, agents, attorneys, reinsurers) in a professional manner.
• Establish and maintain reserves and communicate with management on a consistent basis.
• Assist in developing technical knowledge within the department.
• Function as a resource for team questions and/or training of new employees as assigned by management.
• Perform other duties as assigned by management.

Benefits

• Company paid Basic Life Insurance
• Medical, Dental, & Vision
• Company paid Short Term & Long-Term Disability
• 401(k) plan with company match up to 6%
• Flexible Spending Accounts
• Employer Funded Health Savings Accounts
• Employee Assistance Programs
• Generous PTO Plan
• Onsite Wellness Clinic

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level