Property & Casualty Claims Executive

Higginbotham • Saint Petersburg, FL

4h

About The Position

The Claims Executive is responsible for accurate reporting
and filing of claim litigation to the respective Carrier, in addition to
handling complex claims scenarios along with resolution of claims disputes. The
Claims Executive functions as an insurance claims professional that provides
guidance to the Customers and Producers on more complex claims issues. Claims
Executive is responsible for monitoring the assigned inventory of accounts,
answering phone calls, consulting on claims related issues. Duties include;
handling customer service calls as needed, reviewing claims on an as needed
basis.

Requirements

• Bachelor’s Degree and at least 5 years of experience in the related field
• 3+ years of claims processing experience
• Insurance Claims terminology
• Proficient with Claims processing guidelines, working knowledge of claims settlement and insurance claims practices
• Ability to organize, prioritize and communicate effectively while meeting deadlines and production goals
• Must have commonly-used knowledge of claims examination concepts, practices and rules and claims workflows. This position utilizes experience and judgment to plan, accomplish goals and effectively solve problems with a variety of scenarios
• Adjusters License
• Proficient with Microsoft Excel, Word, PowerPoint, and Outlook

Nice To Haves

• Advanced training in claims processes preferred
• Previous litigation and insurance claims experience preferred
• Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable

Responsibilities

• Reports to the Claims Operations Manager on workflow issues and the handling of assigned claims inventory
• Service and be the point of contact for assigned threshold accounts.
• Ability to review policy language and offer a professional opinion regarding coverage, settlements, reserve practices, etc.
• Handle and work with carrier and client on professional coverages, including D&O and EPL.
• Ability to troubleshoot and consult clients on all P&C lines, including disputes or denials by the carrier.
• Review, document and acknowledge Pre- Litigation request or demands.
• Must be able to understand report, monitor and be able to consult clients on any Litigation Claims brought to Suit.
• Proficient in excel with the capability to produce charts and presentations.
• Perform claims reviews and loss analysis for assigned threshold accounts.
• Must be comfortable in presentations to prospects and existing clients.
• Travel as needed to support existing clients as well as company growth goals.
• Ability to work both in a team environment and independently with minimal supervision
• Must have excellent time management skills with the ability to multi task and calendar client service plans
• Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
• Performs all other related duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 11-50 employees