Claims Specialist III – Excess & Surplus

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

📋 Description

• Analyze new claims assignments to ascertain the nature of the claim and the necessary actions.

• Obtain and review notice materials and complaints to evaluate UFG’s obligations.

• Prepare coverage position letters when there are coverage concerns.

• Investigate, assess, negotiate, and resolve high-severity, high-complexity casualty claims.

• Examine coverage, liability, damages, and exposure.

• Set and maintain appropriate reserves.

• Formulate claim, resolution, and negotiation strategies.

• Choose and oversee defense counsel and experts.

• Guide litigation activities and oversee the management of underlying claims.

• Collaborate with primary insurers, defense counsel, brokers, insured parties, underwriting, agencies, and internal stakeholders.

• Document file activity and compile claim reports.

• Recognize subrogation opportunities, risk transfer possibilities, and exposures.

• Draft tender letters and notify potential parties.

• Inform insureds of significant developments and demands.

• Review fee statements and negotiate adjustments according to UFG billing guidelines.

• Investigate excess coverage, limits, and attachment points.

• Monitor underlying carriers and influence claim handling and resolution within their limits.

• Engage in educational programs and claims committees.

• Mentor other E & S Specialists and act as a subject matter expert.

• Facilitate informed decision-making, mitigate risks, and achieve favorable claim outcomes while managing loss costs and expenses.

⛳️ Requirements

• Bachelor’s degree is preferred.

• Must meet the relevant state licensing requirements to manage claims.

• CPCU, AIC, SCLA, or Legal Principles, CCLA, and PCLA from the AEI series are preferred.

• 10+ years of experience in casualty claims, ideally with excess experience.

• Familiarity with claims best practices.

• Understanding of unfair claims practices and bad faith.

• Knowledge of various policy coverages.

• Awareness of trigger and allocation priority of coverage.

• Understanding of the number of occurrences.

• Knowledge of applicable laws, regulations, and venues.

• Awareness of fraud indicators.

• Familiarity with civil procedure.

• Understanding of resolution strategies.

• Knowledge of contractual issues.

• Familiarity with UFG billing guidelines.

• Ability to read, comprehend, and interpret policy language, endorsements, and contracts, applying them to the claims process.

• Analytical skills to evaluate coverage, risk transfer, liability, and bodily injury/property damage for reserves and settlement.

• Excellent negotiation, interpersonal, analytical, organizational, oral, and written communication skills.

• Capability to document information clearly and concisely in file notes and reports.

• Proficiency in mediation and arbitration techniques.

• Aptitude for mentorship and leadership.

• Proactive management of defense counsel and expense oversight.

• Clear and effective communication skills.

• Strong analytical and critical thinking abilities.

• Proactive decision-making and problem-solving skills.

• Demonstrated effective negotiation skills.

• Strong time management skills and a sense of urgency in service.

• Polished presentation skills with the ability to articulate claims to a committee.

• Occasional overnight travel and weekend work may be required.

🏝️ Benefits

• Annual incentive compensation.

• Medical, dental, vision, and life insurance.

• Accident, critical illness, and short-term disability insurance.

• Retirement plans with employer contributions.

• Generous time-off program.

• Programs designed to support employee well-being and financial security.

• Company-sponsored educational programs and additional educational opportunities.

• Occasional overnight travel and weekend work may be required.