Senior Claims Resolution Specialist
3 weeks ago
Company Overview: At Utica National Insurance Group, our corporate promise is to make people feel secure, appreciated, and respected. With 1,400 employees countrywide, we strive to deliver exceptional service and build strong relationships with our customers.
Salary: The salary for this role is estimated to be between $80,000 and $120,000 per year, based on experience, location, and qualifications.
Job Description: As a Senior Claims Resolution Specialist, you will be responsible for investigating, evaluating, negotiating, and resolving litigated auto bodily injury and commercial general liability claims in a fair and timely manner. You will interpret coverage and prepare detailed coverage letters, handle risk transfer, and use decision-making skills to guide and review work on litigated cases.
Key Responsibilities:
- Investigate, evaluate, negotiate, and resolve litigated auto bodily injury and commercial general liability claims.
- Interpret coverage, assess comparative negligence, evaluate damages, and negotiate settlements with limited supervisor intervention.
- Control, direct, authorize, and review activities of assigned defense counsel.
- Operate independently and resolve claims within an assigned authority.
- Consult with supervisor on complex coverage and litigated matters.
- Attend mediations, trials, and hearings as needed, including interaction with insureds, agents, and legal representatives.
- Review court decisions, law, and coverage interpretations and have a broad knowledge and understanding of the law and claim practices.
- Effectively handle complex/serious claims within Regional Operations.
- Consistently meet or exceed work product/quality scores and company standards/goals.
- Provide an excellent customer service experience on all claims.
Additional Responsibilities:
- Serve as a mentor to lesser-experienced team members.
- Perform other duties as assigned.
- Conform with all corporate policies and procedures.
What You Need:
- Four-year degree preferred or equivalent experience.
- 5+ years of auto bodily injury and commercial general liability experience.
- Experience in handling litigated files with strong coverage analysis skills required.
- Licensing in GA, TX, NC, and SC strongly preferred. Proof of licensing required.
Licensing: You are required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims.
Benefits: We offer a Comprehensive Benefits Plan for full-time employees, including medical and prescription drug benefit, dental benefit, vision benefit, life insurance and disability benefits, 401(k) profit sharing and investment plan, health savings account, flexible spending accounts, tuition assistance, training, and professional designations.
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