Complex Claims Specialist - Public Entity (Remote)

Selective Insurance Company of America•UNAVAILABLE, UNAVAILABLE

1d•Remote

About The Position

Selective Insurance is seeking a Complex Claims Specialist Public Entity Professional Liability for this remote position. Proactively manages complex claims for Public Entities, School Boards and other speciality groups in accordance with Company claim policies, practices and procedures within delegated authority. Candidate is responsible for handling claims from inception to conclusion, while delivering superior customer service to our policyholders and agents, all in support of our commitments to our stakeholders. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Requirements

Experience handling Public Entity Professional Liability, Police Professional Liability, and Employment Practices Liability claims required
Ability to properly address exposure and adjust files and expenses
Ability to analyze claims presented, legal complaints, litigation reports and trend analysis to identify issues
Experience in complex coverage analysis and significant large loss evaluations
Superior communication, strategic thinking and problem-solving skills
Excellent presentation skills
Moderate proficiency with standard business-related software (including Microsoft Outlook, Word, Excel, and PowerPoint)
Sufficient keyboarding proficiency to enter data accurately and efficiently
Must have valid state-issued driver’s license in good standing and be able to drive an automobile
8+ Casualty claims handling experience (of those, a minimum of 5 years handling cases of a complex nature with a primary P&C carrier)

Nice To Haves

College degree preferred
Law degree or MBA preferred

Responsibilities

Effectively evaluates and resolves coverage issues arising out of claims made against Public Entities, Law Enforcement Agencies and School Boards in order to maintain the highest professional customer service and technical standards, in a timely fashion and ensure that all deadlines are met.
Investigate claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, agents, witnesses and others having pertinent information.
Effectively and efficiently present claims and claim trends to Claim and Underwriting Leadership to include discussion of coverage, liability assessment and ultimate exposure to the insured and company.
Timely analyze information in order to effectively evaluate assigned claims to determine ultimate exposure to the insured and company.
Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
Effectively analyze claim in conjunction with policy to assess coverage availability and prepare appropriate coverage letters explaining coverage position to insureds/agents.
Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management.
Ensure proper referrals and timely updates to appropriate Reinsurer(s).
Plans, reviews and conducts claims reviews and settlement conferences. Mediates complaints and disputes regarding claim resolution.
Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee’s time and a valid driver’s license.