Senior Claims Specialist

BP&C•Omaha, NE

1d•Onsite

About The Position

We are looking for a highly capable Senior Claims Specialist to join our team and work from our Omaha office. Alternatively, this position can be filled to work from our Albany office. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. The position reports to a manager based in Albany and is responsible for the investigation, evaluation, negotiation, and settlement of commercial auto claims, primarily in the Northeastern United States. This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Specialists are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly. The Specialists work closely with other departments, vendors, and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to tens of thousands of dollars. Our Senior Claims Specialists contribute to providing superb results for our clients. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Requirements

A broad theoretical knowledge of commercial automobile bodily injury claims, as well as an exceptional customer service focus typically obtained through:
Bachelor’s degree from an accredited university required.
Two or more insurance designations or four additional years of related experience adjudicating claims beyond the minimum experience required below may be substituted in lieu of a degree.
A minimum of two years' experience adjudicating claims is required.
Must be able to obtain necessary state licenses and maintain Continuing Education (CE) requirements as needed.
Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
This role primarily faces problems and issues that generalized and typically not complex, but require an understanding of a broader set of issues.
A strong focus on execution in getting things done right.
Proven ability to consistently produce and deliver expected results to all stakeholders by:
Finding a way to achieve success through adversity.
Being solution (not problem) focused
Thinking with a global mindset first.
Client focus – the ability to effectively determine specific client needs and to provide value added solutions.
Successful traits (flexibility, ability to thrive in change, being resourceful on your own) necessary to work in a fast paced environment that is evolving constantly.
Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Must have excellent communication skills and the ability to build lasting relationships.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Desire to work in a fast-paced environment.
Excellent evaluation and strategic skills required.
Strong claim negotiation skills a must.
Ability to take proactive and pragmatic approach to negotiation.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
Must demonstrate the ability to exercise sound judgment working under technical direction.
Demonstrates inner strength.
Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants
Polished and professional written and verbal communication skills.
Presents information clearly, concisely, and accurately.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.

Nice To Haves

Working knowledge of Guidewire ClaimsCenter and ImageRight strongly preferred .
Insurance designations, such as ACLS, AIC, AINS, CCLS, & FCLS

Responsibilities

Under technical supervision and working within significant limits and authority, adjudicate serious commercial auto bodily injury claims of higher complexity, including first and third-party losses, according to applicable state mandates, with a direct impact on the overall achievement of results for the team.
Providing laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long-lasting connections with our insured and brokers.
Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties in order to determine the facts of the loss.
Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
Creating and reviewing reserves in line with market and Farm Family's reserving policy
Determining the appropriate method of inspection or review of facts.
Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
Evaluates claims for bodily injury, review medical reports-records and bills.
Calculates past/future medical expenses, past and future wage loss where applicable.
Analyzes the value of Bodily Injury Claims for compensation, considering both past and future values of compensation.
Confirms and/or performs permanency ratings according to AMA guidelines to assess exposure and value of the claim.
Ensuring compliance with state regulations and requirements.
Settles straightforward claims in line with authority limits and adheres to organizational referral procedures
Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
Preparing reports for file documentation
Reporting to claims management and underwriters on claims trends and developments.
Processing mail and prioritizing workload.
Completing telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Has an appreciation and passion for strong claim management.