Casualty Claims Specialist

Responsibilities include, but are not limited to:

• Examine claims forms and records to determine if insurance coverage is applicable, and to what extent coverage is provided. This includes maintaining timely and accurate claim file reserves, noting policy limits, deductibles, form endorsement, contract terms, and other essential forms and documents.


• Handle large and complex casualty claims. Oversee the adjustment of large, complex or litigated auto or casualty claims.


• Maintaining timely and accurate claim file reserves.


• Track all open files and prepare regular status reports.


• Attend litigation hearings, depositions and mediations as a Company representative.


• Conduct interviews with insureds/claimants/witnesses, taking recorded statements.


• Correspond with insureds/claimants and/or their legal representatives.


• Consult police and hospital records to gain accurate information regarding the claim.


• Prepare report of findings and negotiate settlement with insured, claimant, attorney and/or other representative, explaining coverage as it applies to settlement. Compile all documentation and reports to ensure an accurate and complete claim file.


• Assess claim in consideration of subrogation, salvage and recovery, depreciation, replacement costs, restitution, estimates of independent contractors, estimating software, and other tools provided.


• Communicate with insured and agent during the claim investigation and settlement.


• Confer regularly with supervisors, other claims staff and other Company personnel to plan and coordinate activities, exchange information, resolve problems, etc.


• Participate in monthly Claims Monitoring for performance feedback; adjust performance based on feedback.


• Assist supervisors in training new claims adjusters and in overseeing the daily work of junior adjusters.


• Acts in compliance with all licensing, fair claims practice laws and regulations.

Requirements

• Bachelor’s degree or equivalent education and experience.


• Minimum of 7 years of experience in casualty claims handling


• Well-developed business acumen.


• Ability to multi-task and handle numerous assignments simultaneously.


• A process thinker seeking productivity and exceptional service.


• Excellent verbal, telephone, and written communication skills.


• Ability to work well in a team environment.


• A professional, positive and enthusiastic attitude.


• Advanced computer skills.


• Excellent listening and feedback skills.


• Good problem solving skills.


• Effective training skills.

Desired Qualifications and Skills 

• Bachelor’s degree or equivalent education and experience in a relevant field.


• Valid Claims Adjuster’s license in the State of Vermont and other states when applicable.


• Prefer AIC, CPCU, CIC, or other insurance designations