Selective Insurance Company of America

  • Complex Claims Specialist- Remote-Specialty Claims

    Location US-NJ-Branchville | US-NC-Charlotte | US-IN-Indianapolis | US-PA-Allentown | US-AZ-Scottsdale | US-NJ-Hamilton
    Experience (Years)
    5
    Category
    Claims
    Status
    Full-Time Regular
    FLSA Status
    Exempt/Salaried
    Job ID
    6484
    Travel %
    15-20%
    Relocation Cost
    0
    Auto Reimbursement
    No
  • Overview

    The purpose of this position is to provide direct handling of the company’s Specialty Claims including Abuse/Molestation, Employment Practices, Directors & Officers and Fiduciary Liability claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with insureds and defense counsel to direct litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 10% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

     

    This position is open to the Selective Insurance footprint, and open to remote candidates in the US.

     

    Responsibilities

     

    1.

    Effectively evaluate and resolve coverage issues for Specialty Lines of business including Abuse/Molestation,   Employment Practices, Directors & Officers and Fiduciary Liability claims.

    2.

    Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.

    3.

    Effectively and efficiently present claims and claim trends to Claim and Underwriting Leadership to include discussion of coverage, liability assessment and ultimate exposure to the insured and company.

    4.

    Timely analyze information in order to evaluate assigned claims to determine ultimate exposure to the insured and company.

    5.

    Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.

    6.

    Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.

    7.

    Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management. 

    8.

    Ensure proper referrals and timely updates to appropriate Reinsurer(s).

    Qualifications

    Experience in coverage analysis and large loss evaluations;

    Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills;

    Excellent presentation skills;

    Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint.

    Sufficient keyboarding proficiency to enter data accurately and efficiently

    Must have valid state-issued driver’s license in good standing and be able to drive an automobile.

    • College degree preferred.
    • 8+ Casualty claims handling experience (of those, a minimum of 5 years handling Employment Practices claims with a primary P&C carrier).

     

    Selective is an Equal Employment Opportunity employer. Selective maintains a drug-free workplace.

     

    LI-TW1

    Options

    Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
    Share on your newsfeed