Complex Claims Specialist - Remote

Overview

Selective Insurance is seeking a Public Entity Professional Liability Complex Claims Specialist. Proactively manages complex claims for Public Entity Professional Liability claims, School Board Liability and other speciality claims in accordance with Company claim policies, practices and procedures within delegated authority. Candidate is responsible for hadnling claims from inception to conclusion, while delivering superior customer service to our policyholders and agents, all in support of our commitments to our stakeholders. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Responsibilities

• Effectively evaluates and resolves coverage issues for Public Entity, School Board and Volunteer Emergency Services claims in order to maintain the highest professional customer service and technical standards, in a timely fashion and that all deadlines are met.
• Investigate claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, agents, witnesses and others having pertinent information.
• 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.
• Timely analyze information in order to effectively evaluate assigned claims to determine ultimate exposure to the insured and company.
• Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
• Effectively analyze claim in conjunction with policy to assess coverage availability and prepare appropriate coverage letters explaining coverage position to insureds/agents.
• Report on all cases going to trial on a timely basis and attend portions of trials when warranted or requested by management.
• Ensure proper referrals and timely updates to appropriate Reinsurer(s).
• Plans, reviews and conducts claims reviews and settlement conferences. Mediates complaints and disputes regarding claim resolution.
• Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee's time and a valid driver's license.

Qualifications

Knowledge and Requirements

• Ability to properly address exposure and adjust files and expenses
• Ability to analyze claims presented, legal complaints, litigation reports and trend analysis to identify issues;
• Experience in complex coverage analysis and significant large loss evaluations;
• Superior communication, strategic thinking and 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; and
• Must have valid state-issued driver's license in good standing and be able to drive an automobile.

Education and Experience

• College degree required. Law degree or MBA preferred.
• 8+ Casualty claims handling experience.
• Experience handling Public Entity Professional Liability, Police Professional Liability and Employment Professional Liability claims required;

Total Rewards Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page. The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs. Pay Range USD $124,000.00 - USD $160,000.00 /Yr. Apply tot his job Apply To this Job