Complex Casualty Claim Specialist

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

📋 Description

• Conduct investigations, assessments, and negotiate settlements by leveraging technical expertise to achieve fair and timely resolutions for cases.

• Adjust reserves and offer recommendations to ensure that reserving activities align with corporate policies.

• Communicate effectively regarding reserve and reinsurance notices and reports.

• Engage promptly and professionally with all stakeholders while addressing inquiries and collecting claim information.

• Comply with company service standards and adhere to claims handling guidelines.

• Manage and control litigation and claim expenses effectively (including budgets, experts, and claim strategies).

• Collaborate with and direct legal counsel on claims that necessitate litigation, and attend mediations, arbitrations, and/or trials as required.

• Input and report on ISO claims.

• Resolve claims within the designated authority level.

• Maintain claim files with professional notes, summaries, detailed analyses, and specific action plans with target dates.

• Perform additional duties as assigned by management and mentor junior staff.

⛳️ Requirements

• A bachelor’s degree is mandatory.

• Over 8 years of experience in managing and handling complex casualty/bodily injury claims within an insurance carrier.

• Ongoing education in insurance and/or relevant designations are expected.

• Possession of a license, or the ability to obtain one, in all states where Kingstone policies are issued.

• Familiarity with Medicare Reporting guidelines and qualifications for Medicare Set Aside.

• A curious mindset, alongside strong technical skills in claims, and a genuine passion for the industry.

• A comprehensive technical understanding of insurance coverage and claims procedures.

• A collaborative team player who shows initiative and works efficiently in a remote setting.

• Detail-oriented with exceptional organizational abilities.

• Capability to perform effectively under stress.

• Willingness to travel as needed for meetings, trials, mediations, or other legal proceedings.

🏝️ Benefits

• Comprehensive health benefits

• Life and disability insurance

• 401(k) with company match

• Paid parental leave

• Paid vacation, paid holidays, and a day off for your birthday

• Peer recognition program