Claims Specialist – Dp&E

Claims Specialist – Dp&E

Requirements

• Demonstrated ability to work as part of a team, interact with others, meet deadlines, and successfully perform in a fast-paced, changing work environment.
• Excellent written and verbal communication skills, to liaise with numerous customers, both internal and external
• 3+ years of experience adjusting liability claims or equivalent/exposure.
• Bachelor’s and/or Juris Doctor degree from an accredited school or equivalent work experience
• Claims adjuster license required; valid adjusting licenses in required states and additional states as needed.

Responsibilities

• Excels in best practices claim environment thoroughly documenting the claim process via claim files notes, coding, s, and electronic documents storage.
• Makes recommendations regarding resolution strategy for claims including reserve adequacy; executes such strategy on behalf of the company, with or without the help of outside counsel.
• Exercise critical thinking by conducting investigations to determine liability, damages, and coverage and maintain appropriate claim file documentation.
• Timely develop and make recommendations regarding resolution strategy for claims including reserve adequacy.
• Obtains relevant policies, review policies for coverage, analyzes insurance coverage issues and timely draft coverage letters.
• Collaborates in the defense and resolution of claims, preparing, and negotiating settlements.
• Evaluates and maintain full pending claims diary in connection with the posting and maintaining of accurate reserves.
• Maintains and develops relationships with brokers, risk managers and general counsels, and a variety of vendors.
• Provides data and analytic based-informational support to claims management and underwriters.
• Provides support to underwriters with respect to marketing efforts, policy wording, and trending discussions.
• Participate in mediations and trials as required and travel if necessary.
• Other duties as assigned.

Preferred Qualifications

• Proficiency in Word, Excel, PowerPoint, OneNote, and SharePoint preferred.
• Knowledge of legal and insurance claims is a plus.
• Understanding of individual and group performance metrics and KPIs.
• Proficient in drafting coverage correspondence, experience in writing coverage letter, and other reporting communications.
• Excellent negotiation, communication, and interpersonal skills.