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Claims Specialist

Claims Specialist

CompanyEverest
LocationBoston, MA, USA, Philadelphia, PA, USA, Chicago, IL, USA, Middlesex, NJ, USA, Atlanta, GA, USA
Salary$Not Provided – $Not Provided
TypeFull-Time
DegreesJD
Experience LevelMid 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

    No preferred qualifications provided.