Claims Service Specialist II - General Liability Team

Claims Investigator

Under frequent supervision, investigate and resolve first and third party material damage, PIP and BI claims which may involve coverage, liability, damage and legal issues. The claims may involve multiple vehicles, minimal exposure and/or Commercial auto coverages among other factors.

Timely completion of all case activities, maximizing customer service and minimizing net loss payout.

Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing. This may include visiting the accident location to examine, photograph and diagram physical facts and conduct neighborhood canvasses.

Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system.

Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system.

Based on level of experience will interpret and evaluate medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly.

Negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.

Assists, when requested, in the selection and evaluation of experts as needed.

Manages litigation, checking to ensure that coverages are not exceeded, that legal expenses are adequate, and confers with attorney about case direction and disposition.

Will participate in special projects or training programs.

Based on level of experience will assist in the training of Claims Service Specialists II and below.

Performs other related duties as required or requested.

Will keep management informed of activities and problems within assigned area of responsibility.

Provides information to all interested parties, including the local agents, by answering routine questions regarding the status of the claim.

Successfully completes all required training and applies.

Meets basic claim handling performance standards.

Prepare well written contentions for arbitration filings, including Special arbitrations, when coverage, liability and/or damages are in dispute.

Manage stretch assignments based on experience with oversight.

Requirements:

Success will be measured based on individual results compared to all established department standards in Customer Service, Teamwork, Loss and Expense Management, as well as Continuous Improvement.

Excellent communication, customer service and collaboration skills

1-2 years of equivalent work-related experience

1 or more years as a Claim Service Specialist II

Demonstrated success in handling MD2 Claims

Where applicable pass the state licensing requirements

Valid drivers license in good standing

Our current reasonable and good faith estimate of the annual salary range for this position is approximately $60,000 - $62,000 based on a variety of factors including, but not limited to, relevant skills and experience, educational background and certifications, performance and qualifications, market demand for the role and other organizational needs.

Please note: The advertised pay range is not a guarantee or promise of a specific wage.