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Selective Insurance · 2 hours ago

Complex Claims Specialist-Remote

United States

Full-time

Remote

Senior Level, Lead/Staff

$108K/yr - $163K/yr

8+ years exp

Selective Insurance is a midsized U.S. domestic property and casualty insurance company with a strong financial performance history. The Complex Claims Specialist will handle the company's most complex claims, including coverage analysis, investigation, negotiation, and litigation management, while ensuring compliance with company policies and legal requirements.

FinanceFinancial ServicesInsurance

Responsibilities

Effectively evaluate and resolve coverage issues for all lines of business and all liability claim types

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

Effectively and efficiently manage vendors and expenses

Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary

Effectively evaluate, negotiate and resolve claims within delegated authority (ranging from $100,000 to $400,000) utilizing the appropriate denials or releases

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

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

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

Ability to handle or oversee Extra-Contractual, EPLI, Social Services and E&O claims against the Company

Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee’s time and a valid driver’s license

Qualification

Complex coverage analysisLarge loss evaluationsStrategic negotiationCasualty claims handlingCommercial claim experienceMulti-State licensingKeyboarding proficiencyMicrosoft Office proficiencyPresentation skillsProblem-solving skills

Required

Experience in complex coverage analysis and significant large loss evaluations

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

Excellent presentation skills and 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

8+ Casualty claims handling experience

Minimum of 5 years handling complex GL claim with a primary P&C carrier

Commercial claim experience

Risk transfers and tenders experience