Senior Casualty Claims Representative - Remote USA

Pacific Specialty Insurance Company•Remote, NV

4d•$36 - $50•Remote

About The Position

About Pacific Specialty Insurance Company (PSIC) At Pacific Specialty Insurance Company (PSIC), we approach things a bit differently and have for over 27 years. We warmly welcome each new employee to our organization by emphasizing a culture of appreciation and respect, while providing the much-needed flexibility in their day. We understand this is paramount in today’s workforce. Our Core values of Family, Home, Trust and Profitability are what drives our daily decisions. We strive to foster a culture where all employees feel a sense of belonging and are encouraged to come up with ideas to help us improve as an organization. We provide the tools to help you succeed. Pacific Specialty Insurance Company is a large regional carrier in California, but consistently writes business in 4 other states as well. Job Summary: As a Senior Casualty Claims Representative, you will be an integral part of a dynamic Claims organization which aims to provide a spectacular Claims experience and help our customers. Senior Casualty Claims Representative responsibilities include handling low to complex motorcycle claims, total loss claims and auto property damage claims. In addition, this role also handles homeowner general liability claims, low to mid complexity first party homeowner’s claims, and low to complex bodily injury claims. Third-party litigation handling is also included. This position is dynamic, requiring flexibility, excellent organizational skills, and the ability to multi-task to provide multi-faceted assistance to our insureds and claimants. This position will require you to hold a Florida Adjuster’s License or similar license which includes the State of Connecticut. Candidates must be able to work Pacific Time business hours.

Requirements

College Bachelor’s degree or equivalent preferred.
7+ years’ experience handling California auto liability claims
Friendly, positive, and professional demeanor.
Proficient written and verbal communication skills
Comfortable working in a fast-paced environment with limited management oversight.
Highly skilled planning and organization skills required.
Prior moderate complexity bodily injury and property damage insurance claims experience required.
Prior customer service work experience required.
Strong investigative and analytical skills.
Excellent organization and time management skills.
Ability to make timely and accurate decisions.
Strong negotiation skills.
Strong policy interpretation skills
Hold a Florida Adjuster’s License or similar license which includes the State of Connecticut.

Nice To Haves

Bilingual, especially Spanish is helpful, but not required.

Responsibilities

Investigate & Resolve Claims (90%): Utilizing your understanding of and expertise in concepts of coverage, policy interpretation, exposure recognition, damage analysis and liability determination to analyze and move claims towards resolution using best practices
Understanding and correct application of different laws and requirements for claims handling in multiple states
Ability to analyze variables, such as medical records, bill and legal documentation
Proven negotiation and settlement skills
Investigate all aspects of claims
Create/adjust case Reserves according to Company Policy
Pay and process claims within designated Authority level
Manages pending Inventory of open claims
Primary point of contact for Policyholders throughout claims process.
Maintain organization and documentation of claims files (hardcopy and electronic)
Heavy phone communication with Customers
Interaction with Vendors, experts, and other carriers
Detailed analysis of records, photos, damage reports and policies
Completing written correspondence to individuals and businesses daily
Litigation File/Management on occasion. (5%)
Attend meetings and help with work environment initiatives (5%)