Complex Claims Specialist - Remote

Selective Insurance Company of America

92d • $108,000 - $163,000

About The Position

Selective Insurance is seeking a Complex Claims Specialist for this remote position. The purpose of this position is to provide direct handling of the company’s Specialty Claims – Management Liability (D&O, EPL, and Fiduciary). Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with insureds and defense counsel to direct litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training or other proceedings which may account for up to 10% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Requirements

• Experience in coverage analysis and claim evaluations.
• Superior communication skills and strategic negotiation and claim disposition skills along with proven problem-solving skills.
• Excellent presentation skills.
• Moderate proficiency with standard business-related software (including Microsoft Outlook, Work 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.

Nice To Haves

• JD (law degree) or MBA (Masters in Business Administration) preferred.
• 8+ years claims handling experience involving primary/duty to defend policies, with significant experience handling Directors & Officers, Employment Practices, and Fiduciary claims with a primary P&C carrier.

Responsibilities

• Effectively evaluate and resolve coverage issues for Directors & Officers, Employment Practices, and Fiduciary claims.
• Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, 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 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.
• Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
• 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).

Benefits

• Comprehensive health care plans.
• Retirement savings plan with company match.
• Discounted Employee Stock Purchase Program.
• Tuition assistance and reimbursement programs.
• 20 days of paid time off.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree