Manage a large inventory of claims to evaluate compensability/liability, including pre-litigation and litigation claims
Plan and conduct claim investigations to confirm coverage and determine liability, compensability, and damages
Determine and negotiate appropriate claim settlements/reserves within prescribed authority
Attend arbitrations, mediations, depositions, or trials as needed
Convey moderately complex information regarding coverage and settlements to insureds, claimants, and external partners
Authorize payments in accordance with assigned authority limit and ensure timely payment
Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
Perform other duties as assigned
Requirements
- Bachelor's Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
- Generally, 8 or more years of experience in property and casualty claims handling; casualty preferred
- Experience handling abuse & fatality claims is highly preferred but not required
- Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
- Commercial lines claims handling experience is preferred, but not required
- Holds an active adjuster's license; ideally in CT, FL, KY, NC, NM, SC, and TX; preferred and not required
- Ability to work within significant limits and authority on assignments of higher technical complexity and coordination
- Strong analytical, negotiation, and problem-solving skills
- Knowledge of insurance policies, coverage, and claims handling procedures
- Knowledge of industry laws and regulations
- Ability to organize and prioritize caseloads, ensuring timely resolution of claims
- Excellent interpersonal and communication skills
- Ability to build relationships and lead negotiations
- Proven ability to handle confidential information with discretion
Core Competencies
Demonstrates expertise in managing property and casualty claims, including evaluating compensability and liability, conducting investigations, and negotiating settlements. Proficient in maintaining detailed claim files and ensuring compliance with industry laws and regulations.
Highest-signal resume keywords
- Claims Management
- Negotiation Skills
- Analytical Skills
- Insurance Knowledge
- Adjuster's License
ATS Optimization Keywords
Hard Skills
- Claims Handling
- Investigation Techniques
- Settlement Negotiation
- Coverage Evaluation
- Liability Assessment
- Claims Procedures
- Risk Management
- Financial Analysis
- Commercial Lines Experience
- Abuse & Fatality Claims Handling
Soft Skills
- Interpersonal Skills
- Communication Skills
- Problem-Solving Skills
- Relationship Building
- Organizational Skills
Certifications & Qualifications
- Bachelor's Degree
- Associate in Claims (AIC)
- Active Adjuster's License
Industry Keywords
- Property and Casualty Insurance
- Claims Evaluation
- Insurance Policies
- Industry Regulations
- Claims Settlement
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Senior Casualty Claims Specialist – Specialty Human Services Arbeitgeber: Jobtailor
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