Complex Claims Specialist - Remote
About The Position
Selective Insurance is seeking a Public Entity Professional Liability Complex Claims Specialist. This role proactively manages complex claims for Public Entity Professional Liability claims, School Board Liability and other speciality claims in accordance with Company claim policies, practices and procedures within delegated authority. The 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
- 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, 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
- College degree required.
- 8+ Casualty claims handling experience.
- Experience handling Public Entity Professional Liability, Police Professional Liability and Employment Professional Liability claims required
Nice To Haves
- Law degree or MBA preferred.
Responsibilities
- Effectively evaluates and resolves coverage issues for Public Entity, School Board and Volunteer Emergency Services claims in order to maintain the highest professional customer service and technical standards, in a timely fashion and 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.
Benefits
- competitive base salary
- incentive plan eligibility at all levels
- 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
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
