Sr. Claims Specialist

BITCO Insurance Companies•West Des Moines, IA

12h•Hybrid

About The Position

This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto, Commercial Property and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners.

Requirements

Minimum of 5 years of experience with the following:
Coverage Review – interpreting policies, agreements and disclaimers
Claims Investigation – Statements, authorizations, retention of qualified experts and counsel
Claims Administration – Reports, review reserves, compliance knowledge of laws and procedures
Claims Settlement – Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
Knowledge of coverage, negligence principles, investigation and negotiation techniques
Ability to obtain and maintain state adjusting licenses, as needed
Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
Ability to manage and organize workload of multiple tasks simultaneously
Excellent judgement, negotiation, and decision making skills
Must be able to travel between different off-site locations or overnight in an expeditious manner
Experience in handling liability claims in one or more of the following states: IA, KS, NE, ND, MN, or WI

Responsibilities

Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues
Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
Provide proper documentation and reporting of investigation and claims handling activities
Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
Maintain a working knowledge of regulatory and jurisdictional requirements
Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
Other duties as assigned