Property & Casualty Claims Specialist

1 month ago

Huntington, United States Prospect Street Administrators Full time
Job DescriptionJob DescriptionBenefits:
  • Disability coverage
  • Life insurance
  • Flexible Spending Account
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Job highlights



Manage moderate-severe in complexity commercial property and casualty losses. Investigate claims, evaluate coverage, and make claim settlement payments based on estimated damage pursuant to the policy coverage and authority. Track and manage assigned independent adjusters, experts, TPAs and other vendors as needed. Applicant must have experience processing CGL, E&O, EPLI and SML claims among other liability claims.

Qualifications


  • Adjusters Licenses required
  • Professional certifications as applicable to line of business preferred.
  • Bachelor's degree from an accredited college or university preferred.
  • Six (6) years of claims experience or equivalent combination of education
  • Must have experience processing CGL, E&O, EPLI, and SML claims among other liability claims.
  • Thorough knowledge of claims management processes and procedures for multiple product lines with a concentration in complex commercial property and casualty coverages.
  • Excellent oral and written communication, including presentation skills
  • PC literate, including Microsoft Office products
  • Analytical and interpretive skills
  • Strong organizational skills
  • Excellent interpersonal skills
  • Excellent negotiation skills
  • Ability to work in a team environment
  • Ability to meet or exceed Performance Competencies

Responsibilities


  • PRIMARY PURPOSE: Provides excellent customer services skills to a diverse client base that results in more than satisfied clients. A roll up your sleeves mentality is paramount.
  • Supervise the operation of multiple external teams of examiners and technical staff for property and liability claims of clients; to monitor claim activities; to provide technical direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims
  • Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office
  • Compiles reviews and analyzes management reports and takes appropriate action
  • Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards
  • Acts as second level of appeal for client and claimant issues regarding claim specific, procedural, or special requests
  • Reviews reserve amounts on all claims
  • Manage and monitor self-insured retention accounts
  • Monitors third party claims; maintains periodical review of litigated claims, questionable claims, and sensitive claims
  • Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written summary of specific claims as requested
  • Ensures claim files are coded correctly and adequate documentation is made
  • Performs other duties as assigned
  • Supports the organization's core mission

Skills & Knowledge

  • Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion
  • Ability to meet deadlines
  • Ability to manage multiple priorities simultaneously
  • Ability to manage work-related stress
  • Ability to interpret written technical information
  • Capability to build and maintain positive relationships
  • Ability to be an avid listener and conscientious member of our team

Work Environment


Waldorf Risk Solutions strives to offer a diverse and inclusive and rewarding work environment. Teamwork and mutual respect are central to how Waldorf Risk Solutions operates, and we believe the best solutions draw upon diverse perspectives, experiences, and skills. We operate in such a way where everyone, regardless of their singular background, could contribute to our collective success.

Waldorf Risk Solutions offers a competitive compensation package and comprehensive benefits package including life, health and dental, vision, a generous retirement savings plan, disability coverage, flexible spending accounts, tuition reimbursement. At Waldorf Risk Solutions, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religion, age, sex, sexual orientation, transgender, national origin, disability, genetic information, veteran or marital status, or any other characteristic protected by law.

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