
Senior Casualty Claims Representative – Specialty Human Services
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
• Oversee a substantial inventory of claims to assess compensability and liability.
• Organize and execute claim investigations to verify coverage and ascertain liability, compensability, and damages.
• Identify and negotiate suitable claim settlements and reserves within set authority limits.
• Participate in arbitrations, mediations, depositions, or trials as required.
• Communicate moderately complex information regarding coverage and settlements to insured parties, claimants, and external stakeholders.
• Approve payments according to assigned authority levels and ensure they are processed promptly.
• Maintain precise and comprehensive claim files, which include correspondence, reports, and settlement agreements.
• Carry out additional duties as assigned.
• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Political Science, Pre-law, Paralegal, or a related field, or equivalent experience.
• Typically, a minimum of 3-6 years of experience in handling property and casualty claims.
• Completion of or ongoing progress towards a professional designation is preferred, such as Associate in Claims (AIC).
• Strong skills in analytical thinking, negotiation, and problem-solving.
• Understanding of insurance policies, coverage, and claims handling procedures.
• Familiarity with industry laws and regulations.
• Capability to organize and prioritize caseloads, ensuring claims are resolved timely.
• Exceptional interpersonal and communication abilities.
• Proficient in building relationships and leading negotiations.
• Ability to manage confidential information with care.
• Candidates must be authorized to work in the United States without the need for current or future sponsorship.
• Medical, dental, and vision insurance coverage.
• Wellness programs.
• Parental leave.
• Adoption assistance.
• Tuition reimbursement.
• Paid Time Off.
• Paid holidays.
• 401(k) plan with company match.
• Employee stock purchase program.
• Commuter benefits.
WVU Medicine
Sedgwick
Erie Insurance Group
Elevance Health
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