Sr Specialist Claims

1 month ago

Cincinnati, Ohio, United States First Student Full time


Job Description:
First for a reason
First Student is the largest school transportation provider in North America with more than a century of experience providing safe and reliable transportation. We work with 1,250 school districts in 39 states and 8 Canadian provinces carrying approximately five million students in 21,000 schools daily.

Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $750k, including claims that are in litigation.

Major Responsibilities
  • Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file.
  • Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing, and analyzing reports and related bills.
  • Evaluate and determine appropriate reserving levels in compliance with claim guidelines
  • Select and direct independent external service providers (e.g., Lawyers, Independent Adjusters, Experts)
  • Identifies and addresses subrogation/contribution/SIU opportunities.
  • Negotiate and resolve non-complex claims ensuring cost effective, service orientated solutions
  • Ensure all claims handled within authority limits, and in line with Claim's procedures and guidelines
  • Refer cases outside of authority level, preparing referral documentation and materials as appropriate
  • Support establishment of claims management procedures
  • Claims Processing & Administration
Minimum Education or Certifications Required
  • Bachelors' degree with a minimum of 7 years of overall experience in the insurance industry or equivalent.
  • Equivalent is defined as a high school diploma and 8 years of experience.
  • Extensive experience working with auto and general liability, garage, and transportation claims
  • Experience handling litigated files and direction of defense counsel.
  • Excellent negotiation skills.
  • Adjuster licensure as required by respective state(s).
  • Insurance designations preferred.
  • Excellent oral and written communication skills.
  • Ability to organize, multi-task and prioritize work.
  • Excellent customer service and interpersonal skills.
In the state of Washington, all technician and driving positions, including but not limited to van drivers and any other position requiring employees to drive a company-owned vehicle, are considered safety-sensitive and are therefore subject to drug and alcohol testing, including cannabis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. First is also committed to providing a drug-free workplace. First will consider for employment qualified applicants with criminal histories consistent with the requirements of the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Ordinance, and any other fair chance law. Philadelphia's Fair Criminal Record Screening Standards Ordinance Poster is at this link or upon request
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