Senior Property Claims Representative - Large Loss (Remote USA)

Job Description

Job Description

Description:

 

About Pacific Specialty Insurance Company (PSIC) 

At Pacific Specialty Insurance Company (PSIC), we approach things a bit differently and have for over 27 years. We warmly welcome each new employee to our organization by emphasizing a culture of appreciation and respect, while providing the much-needed flexibility in their day. We understand this is paramount in today’s workforce. As an example of how we differentiate ourselves, we offer our claims employees the option to work a 9/80 schedule . Not only does this schedule increase efficiency and reduce interruptions, but it improves work/balance by providing every other Friday off. We understand this is paramount in today’s workforce. Our Core values of Family, Home, Trust and Profitability are what drives our daily decisions. We strive to foster a culture where all employees feel a sense of belonging and are encouraged to come up with ideas to help us improve as an organization. We provide the tools to help you succeed. Pacific Specialty Insurance Company is a large regional carrier in California, but consistently writes business in 4 other states as well.

 

Job Summary:  

As a member of a world class claims team, you will be accountable for investigating and resolving large loss complexity homeowner property claims in multiple state jurisdictions. This work is accomplished in a manner that supports superior customer service and overall accuracy with appropriate “urgency” at all times. Superior verbal and written communication skills are required to communicate as needed throughout the claims process. Must have strong organizational skills and be able to work independently with minimal to moderate management involvement.

 

Candidates must be able to work Pacific Time business hours.

 

Duties and Responsibilities :

• Adjust major and complex losses in their entirety but may also adjust standard/moderate complexity losses at times

• Complete thorough and proper claim investigations

• Be able to present on file information and investigation status to Senior Leadership during Round Table file discussions (10%)

• Accurately document all investigative activity and secure appropriate claim documentation within our claims and document management systems. (40%)

• Develop and maintain file summaries and action plans from the point of assignment and throughout the life of the claim. (10%)

• Ability to submit complex authority requests and manage file expenses. (20%)

• Handle incoming calls real time whenever possible and return all messages in a timely manner.

(20%)

• Responsible for compliance with state insurance regulations and company Claims Handling Guidelines, and any and all other duties assigned by manager.

Requirements:

The Ideal Candidate will have the following:  

• Prior large loss to moderate complexity insurance claims experience required
• Prior customer service work experience required
• Strong analytical skills
• Excellent organization and time management skills
• Ability to make timely and accurate decisions
• Ability to work independently with minimal management oversight
• Strong negotiation skills
• Comfortable working in a highly productive team oriented environment
• Maintain an active adjusters license in states where required
• College degree and/or bilingual in Spanish a plus

Location Requirement: This position is fully remote and is open to candidates located outside of California. Candidates must reside and work outside of California. 

Essential Mental Functions: Critical thinking skills to solve problems. Effective communication both verbally and in writing. Ability to prioritize tasks and meet deadlines. Adaptability to changing situations. 

Essential Physical Functions: Sitting for extended periods, walking short distances, operating keyboard and mouse and talking on the phone. 

 

Our Benefits - Protection is the name of the game in the insurance industry, and we believe in benefit plans that offer protection to our employees for medical, dental, vision, life, disability, and retirement plans. Our 401k plan and company match are second to none. The company will make a matching contribution equal to 60% of your qualified salary deferral contribution! 

Competitive Compensation – Salaries will be established commensurate with experience. This is a non-exempt hourly position.

All qualified applicants for employment will be considered without regard to an individual’s race, color, sex, gender identity, gender expression, religion, age, national origin or ancestry, citizenship, physical or mental disability, medical condition, family care status, marital status, domestic partner status, sexual orientation, genetic information, military or veteran status, or any other basis protected by federal, state, or local laws. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. 

Pacific Specialty will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please give us a call. 

Pacific Specialty Insurance Company is an equal opportunity employer.