Property & Casualty Claims Executive

Higginbotham•Oldsmar, FL

18h

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

Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner
Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly
Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences
Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively
Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals
Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction
Dependability: Acknowledgment of the importance of being present and punctual.
Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome
Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously
Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment
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.
Proficient with Microsoft Excel, Word, PowerPoint, and Outlook

Nice To Haves

Advanced training in claims processes preferred
Adjusters License
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