Casualty/Liability Claim Specialist

This is a fully remote position, open to applicants in Ohio.

📋 Description

• Oversee complex casualty and liability insurance claims with high visibility.

• Assess coverage and liability across various business sectors.

• Set and modify claim reserves as necessary.

• Conduct comprehensive investigations into coverage, liability, legal circumstances, potential risks, damages, and all parties involved.

• Analyze physical damage to properties, vehicles, and injuries using inspections and relevant tools.

• Gather documentation that supports claim evaluations.

• Identify exposures in claim files and escalate issues as needed.

• Prepare reports that detail the status of claims.

• Collaborate with independent adjusters, cause-and-origin specialists, independent medical examiners, reconstruction experts, engineers, and other professionals as required.

• Manage claim files throughout various litigation phases.

• Review coverage, civil law, and local regulations.

• Attend mandatory and court-ordered mediation, pre-trial, and trial events.

• Keep abreast of legislative changes, court rulings, trends, and claims experiences.

• Provide guidance to Claims Management on the implications for claims policies and procedures.

• Take part in or lead special projects and provide mentorship as needed.

• Communicate with stakeholders who have legal or contractual interests in claims.

• Write clear and concise letters and correspondence.

• Ensure the secure processing of financial claims and information within claims files.

• Discuss coverage and resolution matters with policyholders.

• Prepare claims for trial and adhere to trial alert protocols.

• Notify or update reinsurance when necessary.

• Engage in training programs, conferences, and meetings.

• Carry out additional duties as assigned by management.

⛳️ Requirements

• Reside in Ohio or Indiana.

• Hold a college degree or possess equivalent experience.

• Preferably have a minimum of 3 years of experience as a Senior Claim Representative or in a similar role.

• Experience in analyzing, adjusting, and settling litigated claims related to Homeowners, Personal Auto, Business Auto, Commercial General Liability, Businessowners, and Farm policies is essential.

• Possess advanced skills in coverage analysis, litigation management, legal and medical document assessment, and negotiation.

• Demonstrate exceptional written and verbal communication skills.

• Exhibit strong interpersonal skills.

• Show superior organizational capabilities.

• Manage time efficiently.

• Display effective negotiation abilities.

• Utilize sound judgment, claims training, and experience to evaluate and analyze claims effectively.

• IIA, AIC, or CPCU certifications are highly preferred.

• Proficient in using personal computers and telephone systems.

• Ability to attend mediation, pre-trial, and trial events.

• Willingness to travel occasionally.

• May be required to be on-call on a limited basis for after-hours emergencies.

🏝️ Benefits

• Opportunity for remote work.

• Potential for mentoring opportunities.

• Involvement in training programs and conferences.

• Engagement in company and departmental meetings.

• Reasonable accommodations for individuals with disabilities.

• Limited after-hours on-call compensation (details not specified).