Claims Specialist
Company | Everest |
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Location | Boston, MA, USA, Philadelphia, PA, USA, Chicago, IL, USA, Middlesex, NJ, USA, Atlanta, GA, USA |
Salary | $Not Provided – $Not Provided |
Type | Full-Time |
Degrees | JD |
Experience Level | Mid Level, Senior |
Requirements
- 3+ years of experience managing surety or specialty claims (all locations) or Juris Doctor with 1+ years of law firm experience (Warren, NJ office only)
- Demonstrable technical expertise and product specific knowledge
- Strong interpersonal communication and negotiation skills
- Ability to work independently managing time and resources to accomplish multiple tasks and meet deadlines
- Strong analytical and problem-solving skills enabling viable alternative solutions
- Ability to exercise independent judgement and make critical business decisions effectively assessing the merits of claims as well as evaluating claims based on a cost benefit analysis
- Solid knowledge of Microsoft Office suite as well as other business-related software
- Ability to adapt to change and value diverse opinions and ideas
- Ability to fully comprehend claim information; and to further articulate the analysis of claims in internal reports
- Ability to handle claims with a proactive long-term view of business goals and objectives
Responsibilities
- Performs a combination of duties in accordance with departmental guidelines
- Interprets complex bond coverages and determines if coverages apply to claims submitted, escalating issues as needed
- Sets reserves and authorizes payments within scope of authority
- Ensures issuance of disbursements while managing loss costs and expenses
- Coordinates and performs investigations and evaluates claims and suits through contact with principals, claimants, business partners, counsel, and experts
- Seeks early resolution opportunities; utilizes negotiation skills to develop complex settlement packages; identifies claims with recovery potential and coordinates with subrogation/salvage unit
- Partners with attorneys, account representatives, agents, underwriters, and principals to develop a focused strategy for timely and cost-effective resolution of more complex claims
- Analyses claims activities. Prepares and presents reports for management. May be responsible for special projects and presentations
- Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes
- May provide guidance and assistance to other claims staff and functional areas
- Partners with the Underwriting teams with regards to marketing the Surety product
- Provide Underwriting teams with data and metrics regarding claims trends and market insights
- Stays up-to-date with state and territory regulations, industry activities, trends, and emerging issues
Preferred Qualifications
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No preferred qualifications provided.