Claims Specialist

Summary:

Our award-winning client is seeking a Claims Specialist to join their team. Are you passionate about meticulously analyzing, investigating, and interpreting policy wordings? Do you pride yourself on exceeding client expectations and thrive in a dynamic team environment? We are currently seeking a Claims Specialist to join our team, reporting directly to the VP, of Commercial Lines. As a Claims Specialist, you will be the driving force behind the claims process, ensuring a seamless experience for our clients from initiation to resolution.

Responsibilities:

Evaluate, analyze, and interpret policy wordings to determine coverage applicable to the loss.

Input new loss information into the claims system, facilitating a smooth claims initiation process.

Negotiate and advocate on behalf of the insured throughout the settlement process, maximizing client satisfaction.

Proactively manage all claims to a conclusion, employing an effective abeyance system for ongoing maintenance.

Maintain accurate claims documentation, ensuring completeness and compliance.

Respond promptly to all phone and email messages within company timelines, providing ongoing status updates to customers and internal teams until file closure.

Analyze claims data for trends to contribute to future risk mitigation efforts.

Prepare comprehensive reports for both internal and external stakeholders.

Attend and actively participate in meetings, mediations, and settlement conferences.

Required Qualifications:

Minimum of 3 years experience in a claims role.

Experience in Commercial Insurance.

Completed Post-Secondary education in a related field of study (college or university level).

Interpersonal, strong communication and active listening skills are crucial for effective client engagement.

Strong analytical skills.

Deep understanding of insurance claims negotiation and settlement techniques.