Complex Casualty Claim Specialist
$90k - $125kFull-time
Kingstone Insurance Company
Job Summary: We are looking for a Complex Casualty Claim Specialist, experienced in handling Homeowners casualty/bodily injury claims. This position is responsible for the accurate and timely resolution of l itigated and non-litigated complex casualty/bodily injury claims within company guidelines and state regulations. This is a remote position. Our customers are located in the Northeast so candidates must be able to work during normal EST business hours. Salary Range: $90,000 - $125,000 per year What you will do:
- Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
- Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
- Effective communication of reserve and reinsurance notices and reports.
- Communicate promptly and professionally with all parties when answering questions and gathering claim information.
- Adhere to company service standards and claims handling guidelines.
- Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
- Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
- ISO claim input and reporting.
- Resolve claims within designated authority level.
- Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
- Perform other duties as assigned by management and mentor less experienced staff.
- A bachelor’s degree (required).
- 8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
- Continued insurance education and/or designations.
- Licensing, or the ability to become licensed, in all states in which Kingstone polices are written.
- Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
- A curious mindset, strong technical skills in claims, and a passion for the field.
- A thorough technical understanding of insurance coverage and claim procedures.
- A team player who demonstrates initiative and works effectively in a remote work environment.
- Detail-oriented with excellent organizational skills.
- Capacity to perform effectively in stressful situations.
- Ability to travel as may be required to attend meetings, trials, mediations, or other legal proceedings.
- Comprehensive health benefits
- Life and disability insurance
- 401(k) with company match
- Paid parental leave
- Paid vacation, paid holidays, and birthday off
- Peer recognition program
Vacancy posted 18 days ago
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