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Casualty Claim Specialist

4 months ago

Hastings, United States Hastings Mutual Insurance Company Full time

Hastings Mutual is currently looking for a Casualty Claim Specialist to join our Casualty Claim Team This is a great opportunity for an experienced claims professional to deliver sound, timely claim handling and settlement with a high level of customer service and attention to detail.

**Position Overview**:
The individual in this role will investigate, evaluate, and resolve moderate to complex commercial casualty claims within the company’s contractual and legal obligations while providing quality service and ensuring timely, appropriate payments.

**Position Location & Work Format**:
**Position Duties & Responsibilities**:

- Responsible for the review, investigation, and settlement of assigned open and closed claims to ensure they are handled according to Company policies and procedures, resulting in an equitable resolution within the Company’s contractual and legal liability.
- Uses Hastings Mutual's claims/estimating system (Guidewire ClaimCenter) and other approved technology to perform job duties.
- Facilitates the casualty claim process and resolves in a timely manner by initiating and maintaining positive and productive communications with all policyholders.
- Appropriately reviews and applies coverage for all claims, and provides assistance to others in the claim department regarding coverage issues, reserves, exposure, settlement value, and strategy when appropriate.
- Ensures that salvage and subrogation opportunities are identified and pursued in order to minimize claim losses and improve company results.
- Utilizes all appropriate loss and expense savings programs and directs the activities of outside vendors to ensure that only necessary and cost-effective work is accomplished.
- Documents all claim files accurately and thoroughly to substantiate the disposition of the claim and minimize the possibility of erroneous payments. Properly utilize and document all files in the claim system of record.
- Establishes and maintains appropriate case reserves in an amount sufficient to fund the payment of the claim once it is resolved, whether through settlement, litigation or arbitration as soon as it can be practically done.
- Identifies potential fraud and refers to the appropriate authority. Interaction and contact will occur with surveillance companies, independent adjusters, and special investigators.
- Coordinates relevant claim information with Loss Control, Underwriting, Marketing, etc., to maximize the company’s effectiveness in avoiding future losses and to better manage the current business.
- May also participate in special projects, committees, or assignments from the supervisor or manager and serve as a technical resource for other adjusters. The incumbent may assist in departmental training.
- Investigates construction accidents, serious or certain other losses, particularly where litigation or significant injuries occur.
- Bachelor’s degree preferred. May consider formal insurance education and equivalent claim work experience.
- At least ten years of increasing experience, with at least five in complex casualty/commercial claims required.
- A minimum of three years working with files in litigation.
- Professional designations: Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU) or be actively working towards a designation.
- Excellent demonstrated verbal and written communication ability with experience presenting and facilitating training.
- Demonstrated ability to prioritize multiple duties and embody a results-focused orientation.
- Demonstrated ability to provide excellent customer service to agents, policyholders, and internal/external stakeholders.
- High level of self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
- Ability to exemplify Hastings Mutual behavior standards and comply with all ethical guidelines.

**Our Commitment as an Employer**:
**About Hastings Mutual Insurance Company**:
From our humble roots in 1885 providing coverage for windstorm damage, Hastings Mutual has evolved into a leading regional property and casualty insurance carrier, offering innovative products for businesses, farm owners, and individuals. We work with customers in six Midwestern states (Illinois, Indiana, Iowa, Michigan, Ohio, and Wisconsin). Hastings Mutual is known for its financial strength, high ethical standards, and culture of service and responsiveness.

The core of our ongoing success is our employees. Whether at the corporate offices in Hastings, Michigan to our remote team members throughout the Midwest, Hastings Mutual is made up of talented professionals across multiple divisions and functional areas. Our commitment to our employees and work culture has been confirmed with our inclusion in the “Best and Brightest Companies to Work for in West Michigan” each year since 2011.

Hastings Mutual offers a friendly, family-like environment that values transparency and approachability