Claims Representative

DescriptionAbout 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. 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 Senior Casualty Claims Representative, you will be an integral part of a dynamic Claims organization which aims to provide a spectacular Claims experience and help our customers. Senior Casualty Claims Representative responsibilities include handling low to complex motorcycle claims, total loss claims and auto property damage claims. In addition, this role also handles homeowner general liability claims, low to mid complexity first party homeowner’s claims, and low to complex bodily injury claims. Third-party litigation handling is also included. This position is dynamic, requiring flexibility, excellent organizational skills, and the ability to multi-task to provide multi-faceted assistance to our insureds and claimants. This position will require you to hold a Florida Adjuster’s License or similar license which includes the State of Connecticut.Candidates must be able to work Pacific Time business hours. Duties and Responsibilities Investigate & Resolve Claims (90%): Utilizing your understanding of and expertise in concepts of coverage, policy interpretation, exposure recognition, damage analysis and liability determination to analyze and move claims towards resolution using best practices Understanding and correct application of different laws and requirements for claims handling in multiple states Ability to analyze variables, such as medical records, bill and legal documentation Proven negotiation and settlement skills Investigate all aspects of claims Create/adjust case Reserves according to Company Policy Pay and process claims within designated Authority level Manages pending Inventory of open claims Primary point of contact for Policyholders throughout claims process. Maintain organization and documentation of claims files (hardcopy and electronic) Heavy phone communication with Customers Interaction with Vendors, experts, and other carriers Detailed analysis of records, photos, damage reports and policies Completing written correspondence to individuals and businesses daily Litigation File/Management on occasion. (5%) Attend meetings and help with work environment initiatives (5%) Requirements College Bachelor’s degree or equivalent preferred. Bilingual, especially Spanish is helpful, but not required. 7+ years’ experience handling California auto liability claims Friendly, positive, and professional demeanor. Proficient written and verbal communication skills Comfortable working in a fast-paced environment with limited management oversight. Highly skilled planning and organization skills required. Prior moderate complexity bodily injury and property damage insurance claims experience required. Prior customer service work experience required. Strong investigative and analytical skills. Excellent organization and time management skills. Ability to make timely and accurate decisions. Strong negotiation skills. Strong policy interpretation skills 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. #J-18808-Ljbffr Pacific Specialty Insurance Company