Claims Specialist - Commercial Auto and General Liability

Responsibilities

The Claims Specialist investigates, evaluates, and resolves commercial auto, general liability, and property claims for self-insured and TPA clients. They are responsible for establishing loss reserves, managing service vendors, and ensuring all claims handling complies with regulatory and statutory requirements.

Requirements

Candidates must hold a bachelor's degree and possess at least 3 years of experience in handling various insurance claims. Additionally, valid state adjusting licenses for NY, FL, and/or TX are required for this role.

Skills

• Claims Investigation
• Liability Assessment
• Loss Reserving
• Negotiation
• Subrogation
• Customer Service
• Regulatory Compliance
• Vendor Management
• Automobile Claims
• General Liability
• Property Claims
• Microsoft Office
• Communication
• Organizational Skills
• Detail Oriented
• Time Management

About this role

Investigates, evaluates, reserves and resolves Automobile, General Liability and
Property claims for self-insured and unbundled clients. Provides a superior
level of customer service to internal and external business partners.
Administers and resolves claims for TPA clients in a timely manner and in
accordance with client, company and regulatory guidelines.

Responsibilities:

* Promptly investigates all assigned claims for coverage, liability, damages,
subrogation and contribution. Ensures timely disposition of all claims in
accordance with client, regulatory and statutory requirements.
* Within granted authority, establishes appropriate loss and expense reserves
with documented rationale. Maintains and adjusts reserves over the life of
the claim to reflect changes in exposure. Notifies appropriate claims
management and clients when exposure exceeds authority. Negotiates claims
resolution within granted authority.
* Establishes and executes appropriate action plans for claim resolution
including loss cost management while achieving appropriate balance between
allocated expense and loss outcome.
* Works collaboratively with the client and internal and external business
partners in investigating and reaching appropriate disposition of all claims.
* Selects and manages service vendors to achieve appropriate balance between
allocated expense and loss outcome.
* Maintains a working knowledge of regulatory and jurisdictional requirements
for assigned claims territory.
* Demonstrates technical proficiency through timely, consistent execution of
best claim practices and established claims handling guidelines.
* Communicates effectively with internal and external customers on claims and
account issues. Provides a high degree of customer service.
* Maintain and manage a diary system and claim pending to efficiently and
effectively resolve all claims.
* Potential local travel.
* Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and
apply knowledge of compliance policies and procedures, standards and laws
applicable to job responsibilities in the performance of work.#LI-Remote

Qualifications
* NY, FL and/or TX licenses required
* Bachelor's' degree and a minimum of 3 years of progressively responsible
experience handling Automobile, General Liability, Professional Liability and
Property claims required.
* Familiarity with coverage, negligence principles, investigation and
negotiation techniques.
* Obtains and maintains state adjusting licenses, as needed. Ensures that all
state-required Continuing Education Credits are obtained as needed to
maintain license.
* Strong organizational skills and detail oriented.
* Ability to work independently, handle multiple tasks simultaneously and
exercise good judgment.
* Working knowledge of Auto, Liability and Property claims handling practices.
* Excellent verbal and written communication skills.
* Excellent customer service skills.
* Computer literacy, including working knowledge of MS Office including Word,
Excel and PowerPoint.

About Lodestar Claims & Risk Services

Insurance · 501-1,000 employees · headquartered in Blue Bell, Pennsylvania