Specialist – Claims Service

Specialist – Claims Service

Requirements

• Proven experience in claims handling or a related field.
• Strong understanding of insurance coverage and claims processes.
• Excellent communication skills, both written and verbal.
• Ability to assess financial exposure and set appropriate reserves.

Responsibilities

• Receive and acknowledge new claims, assessing coverage and communicating findings to brokers and insureds.
• Determine claim liabilities, value, and service provider fees, setting reserves with low to moderate financial authority in accordance with company and legal standards.
• Appoint and direct appropriate service partners to defend insured parties and quantify liability and damages.
• Assess the financial exposure of insureds and set reserves accordingly, obtaining necessary reserving, settlement, and payment authority.
• Notify insurers when a claim exceeds specific criteria to keep them informed of potentially high-concern claims and develop final reports summarizing the lifecycle of each claim.

Preferred Qualifications

• Experience with low to moderate complexity claims.
• Familiarity with legal standards and company policies related to claims.
• Strong organizational skills and attention to detail.
• Ability to work collaboratively in a team environment.