Complex Casualty Claim Specialist

Kingstone Insurance Company•City of Kingston, NY

3d•$90,000 - $125,000•Remote

About The Position

We are looking for a Complex Casualty Claim Specialist, experienced in handling Homeowners casualty/bodily injury claims. This position is responsible for the accurate and timely resolution of litigated and non-litigated complex casualty/bodily injury claims within company guidelines and state regulations. This is a remote position. Our customers are located in the Northeast so candidates must be able to work during normal EST business hours.

Requirements

A bachelor’s degree (required).
8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
Continued insurance education and/or designations.
Licensing, or the ability to become licensed, in all states in which Kingstone polices are written.
Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
A curious mindset, strong technical skills in claims, and a passion for the field.
A thorough technical understanding of insurance coverage and claim procedures.
A team player who demonstrates initiative and works effectively in a remote work environment.
Detail-oriented with excellent organizational skills.
Capacity to perform effectively in stressful situations.
Ability to travel as may be required to attend meetings, trials, mediations, or other legal proceedings.

Responsibilities

Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
Effective communication of reserve and reinsurance notices and reports.
Communicate promptly and professionally with all parties when answering questions and gathering claim information.
Adhere to company service standards and claims handling guidelines.
Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
ISO claim input and reporting.
Resolve claims within designated authority level.
Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
Perform other duties as assigned by management and mentor less experienced staff.