REMOTE: Senior Claims Specialist - Non-Auto Liability

$88,000 - $88,000/Yr

American National Insurance - Glenmont, NY

Full-time - Mid Level

Onsite - Glenmont, NY

Insurance Carriers and Related Activities

About the position

The Senior Claims Specialist will manage third-party moderate to high severity non-auto casualty claims, including various types of insurance claims such as auto, homeowner's, business owner policies, general liability, and farm. This remote position requires expertise in adjudicating claims, conducting investigations, and maintaining professional relationships with clients and legal representatives.

Responsibilities

• Adjudicate all aspects of the claims handling process under minimal supervision
• Conduct phone interviews/investigations to determine liability and damages, obtaining recorded statements when applicable
• Review loss notices and complex policy forms to determine proper coverage
• Establish and maintain proper reserves
• Determine the appropriate method of inspection for loss
• Discovery, discussion, and review of the facts and circumstances of the loss occurrence
• Finalize liability determination for third-party losses, sending out required forms, and negotiating settlements with clients or legal representatives
• Draft professional correspondence regarding various aspects of the claim
• Communicate and promote professional relationships with insureds, claimants, agents, attorneys, and internal clients regarding the ongoing status of claims files
• Ensure compliance of Unfair Claims Settlement Practices Act, insurance laws, and regulations in all states assigned
• Review and recognize complex legal issues that require presentation to management, in-house counsel, defense counsel, and internal committee, when applicable
• Read and interpret complex, multifaceted legal and medical documents, and update in an easy-to-understand format for the file, and for the internal committee while addressing excess exposures, umbrella claims, and reinsurance exposures
• Assist in mentoring other claims representatives within the department
• Complete ongoing continuing education to maintain active adjuster license(s)

Requirements

• Currently hold an active state adjuster license or obtain following date of hire
• Four years' multi-lines claims adjusting work experience

Nice-to-haves

• Six years' + claims handling experience
• Four year completed degree in related field (Criminal Justice, Insurance and Risk Management, Business, Communications)
• Understanding of statutes, case laws, and policy contracts
• Must be an effective and organized multi-tasker
• High attention to detail and follow-up
• Must be comfortable managing difficult conversations with ease and confidence
• Excellent written and verbal communication skills
• Strong negotiation skills
• Ability to work independently
• Passion to provide the highest level of customer service

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Basic life insurance
• 401k plan
• Paid time off
• Paid holidays