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Company

Encova Insurance · 8 hours ago

Commercial Claims Specialist

Ohio, United States

Full-time

Remote

Mid, Senior Level

$60K/yr - $96K/yr

5+ years exp

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Comp. & Benefits

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Responsibilities

Handle commercial general liability claims which includes but not limited to construction defects, third party injuries, and acts, errors and omissions claims.

Handle mechanical professional liability damage claims in conjunction with damage appraisers and outside experts.

Handle third party property damage claims in conjunction with property resolution specialists.

Coordinate inspections with outside vendors including but not limited to cause and origin experts and engineers.

Provide limited handling for commercial lines lawsuits as requested.

Comply with the claims organization’s policies, established best practices and jurisdictional guidelines.

Comply with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, and negotiation and settlement of claims.

Comply with all state unfair claims practices acts and obtain state licensing as required.

Maintain competency in the use of the claims system and manage efficient and effective follow-up practices.

Effectively investigate and close a minimum average of 25 losses per month.

Maintain an ongoing understanding of claims processes, procedures and systems, and keep current on fair claims practices laws, compliance issues, and business-related developments.

Make limited outside contacts at the discretion of the manager of commercial claims.

Perform other duties as assigned.

Qualification

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Claims negotiationClaims investigationTort law understandingCommercial lines policiesMedical terms knowledgeAuto repair methodsBuilding repair methodsContinuing EducationAIC certificationCPCU certificationMulti-language skillsClaims system proficiency

Required

Minimum of 5 years’ experience as a claims resolution specialist or related industry experience.

Demonstrated excellent telephone and personal claims negotiation and investigation skills.

Understanding of tort law and strong knowledge of medical terms and treatments.

Good judgement in decision making.

Excellent knowledge of commercial lines policies and coverages.

Understanding of auto and building repair methods.

Ability to analyze auto and building repair methods if required in specific job duties.

Active demonstration of the skills and abilities listed in the claims resolution specialist job description.

Compliance with the claims organization’s policies, established best practices and jurisdictional guidelines.

Compliance with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, and negotiation and settlement of claims.

Compliance with all state unfair claims practices acts and obtain state licensing as required.

Maintain competency in the use of the claims system and manage efficient and effective follow-up practices.

Effectively investigate and close a minimum average of 25 losses per month.

Preferred

Continuing Education through In-house Claims Training Classes, The Institutes (Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.

A college degree.

Multi-language skills.