
Senior Casualty Claims Specialist – Specialty Human Services
Posted Oct 29

Posted Oct 29
This is a fully remote position, open to applicants in United States.
• Oversee a substantial inventory of claims to assess compensability and liability, encompassing both pre-litigation and litigation claims.
• Strategize and execute claim investigations to verify coverage and ascertain liability, compensability, and damages.
• Evaluate and negotiate suitable claim settlements and reserves within designated authority limits.
• Participate in arbitrations, mediations, depositions, or trials as required.
• Communicate moderately complex coverage and settlement details to insureds, claimants, and external partners.
• Approve payments within assigned authority thresholds and ensure prompt disbursement.
• Keep precise and comprehensive claim files, including correspondence, reports, and settlement agreements.
• Undertake additional tasks as assigned.
• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field, or equivalent experience.
• Typically, 15 or more years of experience in property and casualty claims management; casualty experience is preferred.
• Experience with abuse & fatality claims is highly preferred but not mandatory.
• Completion of or progress towards a professional designation, such as Associate in Claims (AIC), is preferred.
• Experience in commercial lines claims handling is preferred but not essential.
• An active adjuster’s license is preferred, ideally in CT, FL, KY, NC, NM, SC, and TX.
• Strong analytical, negotiation, and problem-solving abilities.
• Understanding of insurance policies, coverage, and claims handling processes.
• Familiarity with industry laws and regulations.
• Capability to organize and prioritize caseloads, ensuring timely claims resolution.
• Exceptional interpersonal and communication skills.
• Ability to foster relationships and lead negotiations effectively.
• Demonstrated capacity to manage confidential information with care.
• Must be authorized to work in the United States without current or future sponsorship.
• Medical, dental, and vision coverage.
• Wellness programs.
• Parental leave.
• Adoption assistance.
• Tuition reimbursement.
• Paid Time Off.
• Paid holidays.
• 401(k) plan with company match.
• Employee stock purchase plan.
• Commuter benefits.
• Competitive benefits packages for both full-time and part-time employees.
Sedgwick
Transamerica
Sedgwick
The Cigna Group
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