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Claims Management Specialist

Employer
Selective Insurance
Location
Baltimore, MD
Salary
Great benefits, bonuses, company car, work from home and work life balance
Closing date
Aug 26, 2019

View more

Category
Claims
Job Type
Full Time
Career Level
Experienced (Non-Manager)

Job Details

Overview:

Manage the company’s claims relationship with assigned independent agents, as well as directly handle the field adjusting of commercial and personal multiline claims (property, general liability and auto liability) generated by an assigned group of agents. Responsibilities include the completion of investigation, and the determination of coverage, liability, damages, subrogation, and settlements within limit of assigned authority levels.  Assigned territory may cover a large geographic area.  

This position is open to Maryland's Eastern Shore and surrounding areas.

Responsibilities:

1.Receive claim assignments from assigned agents, verify applicability of coverage.


2.Determine appropriate methods and extent of needed investigation for all assigned claims and conduct investigation primarily through personal visits and also by phone, obtaining medical reports, appraisals, witness and claimant statements/interviews, scene inspections, or other necessary fact-finding methods in order to establish proper value. isposition. Ensure timely contact times, evaluations, reporting, payments, etc. as outlined in the Claims department service standards.


3.Ensure proper file documentation and reporting of information secured as result of claim activity. Ensure rationale for settlement that is consistent with company procedures, reporting standards and guidelines, and may also be responsible for submission of claims forms and reports as required by outside agencies.


4.Evaluate and adjust claims within limit of assigned authority level. Consult with Claim Manager/Supervisor.


5.Determine extent of damages, coordinate and establish repair/damage figures. Enter into final settlement negotiations up to a limit of assigned authority levels and participate in litigation process in conjunction with defense counsel when necessary.


6.Arrange medical examinations, contractor estimates, or other specialist’s appointments when necessary.


7.Assess recovery potential. Develop information necessary to successfully pursue recovery. Establish and maintain effective working relationships with corporate claims, SIU, underwriting, and other corporate personnel to assist in the timely and efficient settlement of assigned claims.


8.Act as liaison with attorneys, public adjusters, underwriting department, rehabilitation facilities, investigators or other service vendor as necessary to manage claim including attending trials, arbitration, ADR, conducting face-to-face negotiation.


9.Assist with monitoring quality of services rendered by appraisers, law firms, structured settlement vendors, rehabilitation vendors, etc. and make recommendations to manager/supervisor.


10.Must be able to drive an automobile to travel within territory. Car travel represents approximately 25-50% of employee’s time and a valid driver’s license.

Qualifications:

  • Strong leadership skills;
  • Excellent PC skills;
  • Excellent presentation and public speaking skills
  • Superior verbal and written communication skills;
  • Strong time management and organizational skills;
  • Self-starter with ability to work independently;
  • Ability to travel and work varying shifts
  • Ability to prepare own damage estimates.
  • Ensure positive and effective relationships with all assigned agents
  • Must have valid state-issued driver’s license in good standing and be able to drive an automobile.

College degree preferred or equivalent experience with 5 -10 years experience in related claims handling, preferably including field adjusting experience.

CPCU designation/course work, Senior Claims Law course work, or other industry training/designations preferred.

 

Company

At Selective, we don't just insure uniquely, we employ uniqueness.

Our Business

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2023 and certification as a Great Place to Work® in 2023.

Working at Selective

At Selective, we don't just insure uniquely – we employ uniqueness. Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs. Employees receive comprehensive total rewards packages - including competitive compensation and performance awards, health benefits, and retirement savings - and professional development opportunities and flexible schedules to support their health, wealth, and well-being. Join our team and help make a difference.

 

Company info
Telephone
9802157539
Location
40 Wantage Ave
BRANCHVILLE
NJ
07826
United States

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