Senior Claims Specialist

4 months ago

Livingston, United States KORE INSURANCE HOLDINGS LLC Full time
Job DescriptionJob Description

Overview:

KORE is an independent insurance partner that delivers an experience unlike any other: Unconstrained in our tailored approach and adjective advice, unrivaled in our white-gloved service, and unlimited in our delivery of complete solutions to unlock possibilities.

Our team of proven and handpicked professionals works with you to understand your needs and to deliver complete coverage from the most- respected carriers in the world. As an independent firm, we do not push proprietary products. Our brokerage and advisory services extend across risk management, business and operational risks, transactional risks, and claims and litigation.

KORE was established in 2013 with our roots, principles and service commitment dating back to 1972 with our predecessor companies. We are a story of achievement through continuous adaptation and evolution – relentlessly focused on helping clients navigate changing markets and evolve their insurance coverage, while simultaneously evolving our business to stay at the forefront of the industry. As a result, we have emerged as a trusted leader known for going above and beyond to help clients succeed across every aspect of their business and personal life.

Job Type: Full Time

On-site 4 days a week, 1 day WFH / Remote

Description for Senior Claim Specialist:

The Senior Claim Specialist will be responsible for managing the claims process for clients from start to finish with an exceptional ability to achieve the best possible outcome for Kore’s internal and external clients. This position necessitates an experienced claim professional who needs minimal supervision and can deliver exceptional service to our clients. Exposure to a wide variety of claims is a plus. Must be a quick learner and able handle significant volume and competing demands. Timeliness and accuracy in managing responsibilities is required, despite competing demands. This position will have a focus on handling personal lines claims for high-net worth individuals.

Essential Functions:

  • Must be able to handle competing demands and unpredictability.
  • Must be able to handle high-pressure situations.
  • Must be a pleasant individual, that can work well with others in a team environment and understand that their contribution and collaboration is essential to the success of the department.
  • Must have sound technical proficiency in one or more of the following types of claims: Auto, General Liability, Property and Workers Compensation. Having only Property experience is not acceptable.
  • Must have commercial lines experience, personal lines experience is a plus, but only personal lines experience is not acceptable.
  • Must be able to hold their own with a difficult client base and keep composure.
  • Must be staunchly “solution oriented”.
  • Support the Director of Claims and manage the claims process for all assigned responsibilities.
  • Be able to identify and work through intermediate to complex coverage issues.
  • Must be tenacious in handling difficult and frustrating situations until resolved in a positive manner and in the client’s favor to the extent possible.
  • Complete Desk Reviews.
  • Establish good working relationships with adjusters at all carriers Kore is partnered with.
  • Interface with carrier Claim Account Executives.
  • Establish and maintain good working relationships with internal Account Executive Teams.
  • Autonomously manage specific accounts with minimal supervision from Director of Claims.
  • Maintain adequate documentation on all claims in AMS.
  • Maintain claims diaries to assure claims are being properly monitored AMS.
  • Create independent relationships with clients with oversight only from Director of Claims.
  • Be able to negotiate favorable results for clients in all aspects of claims disposition.
  • Complete data analysis obtained from various carrier systems for the purposes of assisting in the renewal process with Account Executive teams.
  • Coordinate and conduct claim reviews.
  • Conduct Claim Closure Projects.
  • Ad hoc projects to support the Claims Director.
  • Proficiency in the AMS, Epic is a plus.
  • Minimum of 10-15 years’ experience.

Benefits:

  • Incentive for New Business Accounts
  • Health, Dental, Vision and Life Insurance Benefits
  • 401(k) Plan
  • 20 Days of PTO
  • 9 Holidays
  • Hybrid Work Schedule after 90-day probation period

Kore Insurance Holdings, LLC is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.

This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Kore makes hiring decisions based solely on qualifications, merit, and business needs at the time.

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