Claim Specialist - Pittsburgh, PA

Full-time

Pittsburgh, PA

Funds, Trusts, and Other Financial Vehicles

About the position

This position works directly with our clients as well as our Property & Casualty Sales Executives in relation to claims. This position possesses a high degree of technical knowledge when it comes to coverage reviews on Property & Casualty claims as well as understanding the coverages to ensure the claims are filed under the correct policy. Extensive knowledge of the claims process and coverages are important when claims consulting and claims advocacy is needed with our customers. This position requires a small amount of travel to meet with customers. Minimal supervision is required.

Responsibilities

• Responsible for the reporting of incoming claims and lawsuits to the insurance carrier
• Will work with the Mod Analysis Application in order to do projections for our customers WC Mods. Loss Data information is reviewed and input as well as updated payroll information.
• Provides Claims Counseling and pre-claims counseling as needed to our customers. Review of coverages prior to putting in a claim as well as for reviewing denials to make sure there is not coverage on the claim.
• Working as a liaison between the customer and the adjuster through more difficult claims.
• Follow Up on Existing Claims to monitor progress, payments and timely handling.
• In person meeting with customers for Claims Reviews as well as review up claim trends that may have an impact on the customers policy.
• Performs other related duties and projects as assigned.

Requirements

• BA or BS
• 5 years of job-related experience
• Excellent customer service skills
• Excellent organizational, analytical and interpersonal skills
• Ability to use a personal computer and job-related software
• Excellent management skills
• Excellent project management skills
• Basic level of MS Word
• Basic level of MS Excel
• Prior Claims Handling Experience
• Negotiation skills
• Strong conflict resolution skills

Nice-to-haves

• Property & Casualty License
• Working toward Insurance Designation such as AIC or CPCU