GL Claims Specialist - Remote

Selective Insurance Company of America

87d • $72,000 - $109,000

About The Position

Selective is looking for a GL Claims Specialists for this fully remote position to handle claims throughout Selective's footprint. The purpose of this position is to provide direct handling of the company’s non-litigated and lower-level litigated general liability claims. Responsibilities of this position include basic coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. The individual in this position will also ensure claims are processed within company policies, procedures, and with the individual’s prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Requirements

• Effective verbal and written communication skills: Must demonstrate excellent communication skills through previous roles or certifications in communication.
• Strong time management and organizational skills: Proven ability to manage multiple claims simultaneously with documented success in meeting deadlines.
• Negotiation and claim disposition skills with proven problem-solving ability: Must have a track record of successful negotiations and claim resolutions, supported by specific examples or metrics.
• Strong judgment and decision-making skills: Demonstrated ability to make sound decisions in high-pressure situations, with examples of past decisions and their outcomes.
• Self-starter with ability to work independently: Must have experience working remotely or independently, with minimal supervision.
• Moderate proficiency with standard business-related software: Proficiency in claims management and business software (e.g., Microsoft Office Suite) is required.

Nice To Haves

• College degree preferred: A degree in Business, Insurance, Risk Management, or a related field is highly preferred.
• Minimum of 3 years of prior Commercial General Liability claims experience with a primary insurance carrier: Experience must include handling a significant volume of claims independently.
• Strong knowledge of insurance policies, procedures, and regulations: Must demonstrate in-depth knowledge through certifications (e.g., CPCU, AIC) or extensive work experience.
• Demonstrated ability to analyze complex coverage issues: Must provide examples of complex coverage issues handled and the resolutions achieved.
• Prior experience with New York Labor Law is a plus but not required.
• Experience with Professional Liability claims is a plus but not required.
• Litigation experience is a plus but not required.
• Industry training/designations preferred: Designations such as CPCU (Chartered Property Casualty Underwriter), AIC (Associate in Claims), or similar are preferred.

Responsibilities

• Investigate coverage and liability of claims through telephone, automated correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable coverage letters.
• Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
• Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
• Evaluate, negotiate, and resolve claims within delegated authority. Handle general liability and auto liability files from start to finish. Assign appropriate counsel if needed to defend a claim.
• Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine 'chargeability'.
• Receive and approve expenses incurred to investigate, process, and handle a claim.
• Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments.
• Explore contribution on all claims assigned.
• Prepare for and participate in claims review and settlement conferences.
• Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations.

Benefits

• Comprehensive health care plans
• Retirement savings plan with company match
• Discounted Employee Stock Purchase Program
• Tuition assistance and reimbursement programs
• Paid time off plans

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 1,001-5,000 employees