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Selective Insurance · 3 days 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 history of performance. They are seeking a Complex Claims Specialist to manage Specialty Claims related to Management Liability, providing coverage analysis, investigation, negotiation, and ensuring compliance with company policies.

FinanceFinancial ServicesInsurance

Responsibilities

Effectively evaluate and resolve coverage issues for Directors & Officers, Employment Practices, and Fiduciary claims

Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, 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 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

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 requested by management

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

Qualification

Coverage analysisClaims evaluationStrategic negotiationClaims handling experiencePresentation skillsKeyboarding proficiencyBusiness software proficiencyJDMBACommunication skillsProblem-solving skills

Required

Experience in coverage analysis and claim evaluations

Superior communication skills 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 required

8+ years claims handling experience involving primary/duty to defend policies, with significant experience handling Directors & Officers, Employment Practices, and Fiduciary claims with a primary P&C carrier