Senior Liability/Litigation Claims Specialist
At Seibels, we believe our people are our most important asset. They are the driving force behind our mission and the reason we are able to provide best-in-class services to the property and casualty insurance industry. Our culture is founded upon four core values: collaboration, accountability, respect, and transparency. Upholding this culture and embodying it in all that we do is paramount to the organization and its success.
We are seeking qualified candidates for a Senior Liability/Litigation Claims Specialist. Preference will be given to candidates with experience working for an insurance carrier. As a Senior Liability/Litigation Claims Specialist, you will handle complex homeowner property and liability claims and litigated claims. This position oversees the work of independent field adjusters to ensure a quality work product and working with defense counsel on property and liability litigation and ensures the prompt and courteous handling of claims is provided to policyholders and claimants. The Senior Liability/Litigation Claims Specialist places special emphasis on complying with established claim and litigation guidelines and assists with special projects in other areas of Seibels Claims Services as needed.
Receives new losses from the supervisor to handle direct or for assignment to a field adjuster. Ensures prompt contact is made as per established guidelines. Works with pending claims to ensure efficient completion. Reviews policy information to determine applicable coverage(s). Makes recommendations to the supervisor for resolution of coverage issues in accordance with policy language, customer and company guidelines, and generally accepted claims handling procedures. Ensures suit files are assigned and answered in a timely fashion.
Ensures investigations are completed timely, including but not limited to recorded statements, property estimates, police reports, proofs of loss, photos, medical bills, medical reports, and other forms of physical evidence to evaluate damages. Provides guidance to independents and defense counsel on an ongoing basis making recommendations as needed to facilitate final claim disposition.
Recommends timely and accurate reserves based on the investigation and inspection to ensure sufficient funds can be allocated to cover potential losses.
Evaluates claim investigative material and provides sufficient information for the negotiation of prompt and equitable settlements. Responsible for staying current on legal trends that affect claim handling in the state of Florida.
Maintains a current diary on each claim to ensure timely resolution and closing of the file. Provides detailed captioned reports for management review on major losses. Consistent follow-up with independents and defense counsel as needed. Ensures files are fully documented and able to support the claim decision.
Ensures prompt, proper contact is made and maintained with customers, insureds, agents, claimants, attorneys, and public adjusters.
Assists the claims supervisor/manager as needed in mentoring less experienced examiners. Assists in identifying training needs and aids in the development, administration, and evaluating of training programs.
- Minimum 3 years’ experience in property/liability claims and 1st & 3rd party litigation claims handling.
- College degree or appropriate combination of education and experience.
- Adjusters license required in the states in which the position handles, including completing the requisite continuing education requirements.
- Insurance certificates, courses, or professional designations a plus
- Ability to understand and interpret a property damage estimate.
- Ability to speak and understand Spanish is helpful.
- Able to interpret policy coverages.
- Ability to evaluation liability exposures.
- Good negotiation skills