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Company

James River Insurance Company · 1 day ago

Claims Specialist - Executive Claims Specialist - Complex Claims - Commercial Bodily Injury

Scottsdale, AZ

Full-time

Remote

Senior Level, Lead/Staff

7+ years exp

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Responsibilities

Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service

Perform coverage, liability, and damage analysis on all claims assignments

Investigate allegations, determine facts based on evidence and interviews

Draft disclaimers and reservation of rights letters when coverage issues arise

Assign limited investigations and appraisals to independent licensed professionals

Manage a caseload of high complexity claims with delegated authority

Manage litigated files

Negotiate settlements, mitigate losses, and control expenses

Participate in and attend mediations to facilitate settlements

Maintain accurate documentation in claim files

Maintain a high level of communication internally with Claims management team and externally with insureds, claimants, attorneys and brokers

Act as a consultant providing technical expertise within specialty area to internal stakeholders

Provide technical guidance, assistance and training as needed for less experienced Claims professionals

Maintain a passing quality assurance score on all audits and QAs

Provide exceptional customer service to insureds, claimants, and attorneys, addressing inquiries, concerns, and providing regular updates on claim status

Ensure compliance with state regulations, industry standards, and best practices in claims handling, maintaining a high level of professionalism and integrity

Handle claims in accordance with established James River Claims Best Practices

Other duties as required by management

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

P&C insurance expertiseClaims handlingSuit managementRisk assessmentMS OfficeAdjuster licenseBodily injury expertiseTraining othersProcess implementationRelationship buildingProject management

Required

High school diploma required

Minimum of seven years of P&C claims handling experience including working with complex coverage issues, handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorneys required for Claims Specialist

Minimum of ten years of P&C claims handling experience including working with complex coverage issues, handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorneys required for Executive Claims Specialist

Adjuster license and/or certifications desired preferred

Preferred

Bachelor’s Degree preferred

Advanced Degree or Juris Doctorate Degree preferred

Extensive expertise in specific specialty area of claims, specifically bodily injury as well as experience analyzing coverage for Executive Claims Specialist

Project management and process implementation experience preferred