Sr. Claim Specialist (Hybrid - Madison, WI)

TruStage•Madison, WI

5d•Hybrid

About The Position

This is an advanced Claims role responsible for investigating, negotiating, and settling large or complex Bond claims using standard procedures, under moderate guidance and direction. The position may consult with clients on credit union risks and loss prevention, and is accountable for using external investigators and managing bondability and subrogation processes related to claim resolution. It also requires ongoing communication with insureds to provide excellent customer service. The specialist manages their own workload and provides informal guidance, technical leadership, and training to less experienced colleagues. They develop and implement solutions aligned with business strategies and initiatives, while maintaining detailed knowledge in a particular subject or business focus. The role is hybrid in Madison, Wisconsin, and may require travel on short notice, including weekends.

Requirements

Associate’s degree or equivalent industry experience.
At least 3 years of claims experience.
Adjuster license required; TruStage will assist in obtaining the appropriate licenses within 6 months of the start date if the candidate does not currently hold one.
Excellent verbal and written communication skills, including the ability to draft business-level customer communications.
Ability to work independently with minimal supervision, manage schedules, and meet deadlines.
Demonstrated understanding of the financial services industry and financial transactions.
Excellent analytical and problem-solving skills and decision-making ability.
Demonstrated mathematical aptitude.
Ability to interpret financial, legal, and insurance documentation.
Intellectual curiosity and desire to learn.
Detail-oriented, with a commitment to excellence.
May require short-notice travel, including weekends.

Nice To Haves

Bachelor’s degree is highly preferred.
Fidelity claims experience is preferred.

Responsibilities

Investigate and adjust claims according to applicable laws and policy provisions.
Conduct claim investigations, including taking recorded statements, securing public records, and analyzing report findings.
Examine claim forms and other records to confirm coverage for loss or damage.
Review and settle claims within prescribed limits of authority.
Issue payments or deny claims in a timely manner in accordance with policy conditions.
Negotiate settlements effectively with customers or their representatives.
Recognize and document subrogation opportunities and refer them accordingly.
Handle more challenging and complex claim activity and/or additional products as assigned.
Build and maintain effective internal and external working relationships.
Collaborate with internal support teams, management, and various departments and organizational levels.
Maintain industry knowledge and operational skills, and attend workshops, seminars, and other training as appropriate.
Handle other duties and projects as requested based on business needs.
Provide informal guidance, technical leadership, and training to less experienced staff.
Maintain ongoing communication with insureds to provide excellent customer service.
Consult with clients on credit union risks and areas of loss prevention, as applicable.
Manage use of external investigators and bondability and subrogation processes related to claim resolution.