Seeking Retired Insurance Claims Professionals

The Casualty Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation.

• →Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss
• →Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim
• →Process Bodily Injury, and coverage claims in accordance with established office procedures
• →Work closely with Third Parties, plaintiff counsel, Claim Director and Chief
• →Operating Officer to determine necessary injury and coverage investigation
• →Research case and statutory law in order to conduct proper claim investigation
• →Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims
• →Prepare and present claim evaluations for the appropriate settlement authority
• →Maintain reasonable expense factors
• →Handle other duties as assigned

• →Review and determine course of action on each file assigned, utilizing technical knowledge and experience for the purpose of supporting final disposition of a loss
• →Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage liability, status and damages that are applicable for each claim
• →Honor/decline/negotiate first and third party liability claims upon completion of coverage/policy investigation and analysis of damages and liability
• →Work directly with internal and external customers to develop evidence and establish facts on assigned claims
• →Organize, plan and prioritize work activities to keep up with current assignments and to ensure prompt conclusion of claims
• →Prepare and present claim evaluations for the appropriate settlement authority
• →Notify the Underwriting Department of any adverse information uncovered in the course of the investigation
• →Familiarity with unfair claim practices in states where doing business
• →Conduct business with vendors in a professional manner while maintaining a reasonable expense factor and upholding the company's reputation for quality service
• →Provide customer service both to internal and external customers
• →Handle other duties as assigned

• 3-5 years in Casualty claims experience a MUST!
• Knowledge of legal and medical terminology
• Excellent negotiation, communication, written, organizational and interpersonal skills
• Ability to pass written examinations where required by state statutes to become a licensed claims adjuster
• Proficiency in Microsoft Office products

• 2-3 years previous auto insurance or other auto related experience A MUST!
• Excellent analytical, organizational, interpersonal and communication (verbal, written, phone) skills
• General working knowledge of policies, file procedures, state rules and regulations
• Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster

The Property Damage Claims Specialist will possess previous experience in the investigation, determination of coverage, prompt evaluation of both First and Third Party auto property damage claims with an eye towards prompt, courteous and economical resolution of both First and Third Party related property damage claims.