Claims Specialist

Manages a large inventory of complex claims to evaluate compensability/liability Plans and conducts complex claims investigations to confirm coverage and to determine liability, compensability and damages Analyzes and negotiates appropriate claim settlements/reserves within prescribed authority May attend arbitrations, mediations, depositions, or trials Conveys complex information regarding coverage and settlements to insureds, claimants, and external partners Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports Performs other duties as assigned Requirements Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience Generally, a minimum of 9 years of experience in property and casualty claims handling Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC) Commercial Auto and Litigation Experience Core Competencies Demonstrates expertise in managing complex claims, including evaluating compensability and liability, conducting investigations, and negotiating settlements. Proficient in maintaining detailed claim files and authorizing payments while ensuring compliance with authority limits. Highest-signal resume keywords Claims Management Complex Claims Investigations Negotiation of Claim Settlements Bachelor’s Degree in Business Administration Associate in Claims (AIC) ATS Optimization Keywords Hard Skills Claims Evaluation Liability Assessment Settlement Negotiation Claims Handling Claims Analysis Payment Authorization File Maintenance Risk Management Commercial Auto Experience Litigation Experience Soft Skills Communication Coaching Performance Management Certifications & Qualifications Associate in Claims (AIC) Industry Keywords Property and Casualty Claims Compensability Coverage Confirmation Arbitration Mediation Depositions Trial Experience #J-18808-Ljbffr