Claims Specialist

Burlingame, California
Sep 22, 2016
Nov 21, 2016
Job Type
Full Time
Career Level
Not Specified

Job Summary:

To handle commercial and personal lines property casualty insurance claim matters for Risk Strategies’ clients

Primary Responsibilities and Duties:

The duties of the Claims Specialist include, but are not limited to;

  • Review circumstances surrounding claims along with appropriate coverage and verbally communicate preliminary coverage opinion to the client
  • Acknowledge receipt of claim to client in writing and request all documents necessary in order to move forward and properly advocate on client’s behalf
  • Keep AMS claims file properly updated and attach documents in accordance with protocols created and set within the department
  • Handle to conclusion insurance claims presented by RSC clients and/or as assigned by Claims Practice Leader.  Duties include advocating for the client, maintaining an active diary, transmittal of documentation and follow-up correspondence to the client and carrier
  • Assist client in assembling and submitting their claim to the carrier
  • Attend client meetings, on-site loss inspections and board meetings when necessary
  • Coordinate and mediate at builder’s meetings on problem claims
  • Field client questions or concerns and act as mediator with the insurance carrier when necessary
  • Provide information/documentation to adjusters and other company personnel as requested
  • Provide insured with interim status and final settlement information
  • Review lawsuits submitted by clients prior to filing with carriers
  • Handle Account Executive inquiries and provide loss information when necessary
  • Conduct and/or attend client claim reviews as requested by Producers and Account
  • Perform other duties/projects as assigned by Claims Practice Leader from time to time


Requirements and Qualifications:

  • 5+ yrs. Commercial property & casualty claims experience
  • Valid P&C Broker’s license preferred
  • Possess excellent verbal and written communication skills and exceptional interpersonal communication skills
  • Agency management system knowledge required, AMS 360/Work Smart preferred
  • Proficient computer skills, in particular Microsoft Office suite
  • Ability to multi-task and maintain organization in a fast paced, changing environment
  • Possess the ability to provide superior customer service
  • Possess excellent client advocacy and negotiation skills
  • Self-starter, professional and assertive
  • Exceptional organizational and time-management skills

Physical Demands and Work Environment

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is required to regularly sit, hear, and reach with hands and arms. The employee is occasionally required to stand, walk and stop. The employee must regularly lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
  • The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  The noise level in the work environment is usually moderate to loud.