Complex Casualty Claims Specialist - Northwest Region

Personal Lines Casualty Complex is currently hiring a Senior Claims Resolution Specialist to handle auto and homeowner’s casualty claims for our Northwest Region. This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present high exposure or complex coverage or liability issues.  Works autonomously within prescribed authority limits. This position includes responsibility for handling claims involving severe and catastrophic injuries.

This position is eligible for up to a $2,500 sign on bonus after 90 days of employment for external candidates with an active All-Lines Adjuster license in Florida or Texas (will need to provide documentation of active license and all CE’s must be completed).

Preference for candidates who reside within Pacific or Mountain Time Zones.  

There is an in-office requirement twice a month if you live within 50 miles of one of our Hub locations.

10% travel may be required for mediations, arbitrations, trials and in-person events.

Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.

Responsibilities:

• Manages, investigates, and resolves auto and homeowner’s casualty claims. Investigates and evaluates coverage, liability, damages, negotiates and settles claims and manages litigation within prescribed procedures and authority.
• Provides analysis and recommends strategy and resolution plans on assigned cases in excess of their authority level to local claims management and Home Office.
• Identifies potentially suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
• Prepares for and attends mediations, settlement conferences, trials and hearings and reports to Home Office and local management on status.
• Confers with trial counsel and prepares trial reports.
• Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advises as to proper course of action.
• Responds to various written and telephone inquiries, prepares status reports.
• Ensures adequacy of reserves. Recommends reserve changes on cases in excess of authority.
• Accountable for security of financial processing of claims, as well as security of information contained in claims files.
• Responsible for partnering with outside and in-house counsel on defense strategies.
• May assist in the absence of the Claims Manager, representing the company on matters involving state or federal regulatory agencies.
• May be involved in special projects and/or mentoring at the direction of local management.

Preferred Qualifications: 

• 5+ years of litigation experience
• Expert knowledge of handling personal lines complex claims with severe to catastrophic injuries and fatalities 

• Must have an expert knowledge of coverage, liability, and complex claims handling procedures.
• Must be able to effectively handle claims at the highest technical and complexity level.
• Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
• A full working knowledge of claims operations and procedures is required.
• Excellent written and oral communications skills required as well as strong interpersonal, analytical, investigative and negotiation skills.
• The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 7 years of directly related experience.
• Ability to obtain proper licensing as required.