Acadia Insurance (a Berkley Company) · 18 hours ago
Sr. Complex Claim Specialist
US-KS-Overland Park
Full-time
Onsite
Senior Level
7+ years expIntrepid Direct Insurance is a rapidly growing direct to consumer Property and Casualty insurance company. We are seeking an experienced Sr. Complex Claims Specialist to handle complex and high-value insurance claims, providing expert guidance and ensuring timely and accurate resolution.
Commercial InsuranceInsurance
No H1B
Responsibilities
Evaluate and assess complex insurance claims to determine coverage, liability, and potential fraud, ensuring adherence to company policies and industry regulations
Conduct thorough investigations, including gathering documentation, statements, and evidence, to support claims decisions and mitigate risks
Communicate effectively with policyholders, claimants, legal representatives, and other relevant parties to explain claim decisions, negotiate settlements, and address inquiries
Collaborate with internal teams, including underwriting, and actuarial departments, to ensure a comprehensive understanding of the claims process and contribute to process improvements
Provide quality customer service and ensure file quality, timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case
Establishes and maintains appropriate initial and subsequent loss and expense reserves throughout the life of the claim
Develop litigation plan with defense or coverage counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers
Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed
Managing vendors involved with claim files, i.e. Independent Adjusters, Defense Attorneys, and Coverage Counsel
Qualification
Required
Have, or ability to obtain adjuster license in required states
Claims handling experience in all lines of property and casualty commercial insurance
Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills
Excellent analytical and problem-solving skills
Self-starting, self-motivating and capable of making decisions independently
Preferred
Bachelor's degree and/or Juris Doctorate
Insurance related designation (AIC, SCLA and/or CPCU)
7+ Years of Commercial Claim Experience – Multiple Lines of Business
Company
Acadia Insurance (a Berkley Company)
Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Simone Grimes, CPA, MBA
Chief Financial Officer
Steve Rich, CPCU
Senior Vice President & Chief Claims Officer
Recent News
2024-03-06
Coverager - Insurance news and insights
2022-06-28
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