[Hiring] Senior Casualty Claims Representative @Pacific Specialty Insurance Company

Role Description

As a Senior Casualty Claims Representative, you will be an integral part of a dynamic Claims organization which aims to provide a spectacular Claims experience and help our customers. Responsibilities include:

• Handling low to complex motorcycle claims, total loss claims, and auto property damage claims.
• Managing homeowner general liability claims, low to mid complexity first party homeowner’s claims, and low to complex bodily injury claims.
• Handling third-party litigation.
• Flexibility, excellent organizational skills, and the ability to multi-task to provide multi-faceted assistance to our insureds and claimants.
• Holding a Florida Adjuster’s License or similar license which includes the State of Connecticut.
• Working Pacific Time business hours.

Qualifications

• College Bachelor’s degree or equivalent preferred.
• Bilingual, especially Spanish is helpful, but not required.
• 7+ years’ experience handling California auto liability claims.
• Friendly, positive, and professional demeanor.
• Proficient written and verbal communication skills.
• Comfortable working in a fast-paced environment with limited management oversight.
• Highly skilled planning and organization skills required.
• Prior moderate complexity bodily injury and property damage insurance claims experience required.
• Prior customer service work experience required.
• Strong investigative and analytical skills.
• Excellent organization and time management skills.
• Ability to make timely and accurate decisions.
• Strong negotiation skills.
• Strong policy interpretation skills.

Requirements

• Investigate & Resolve Claims (90%):
  • Utilizing your understanding of and expertise in concepts of coverage, policy interpretation, exposure recognition, damage analysis, and liability determination to analyze and move claims towards resolution using best practices.
  • Understanding and correct application of different laws and requirements for claims handling in multiple states.
  • Ability to analyze variables, such as medical records, bills, and legal documentation.
  • Proven negotiation and settlement skills.
  • Investigate all aspects of claims.
  • Create/adjust case reserves according to Company Policy.
  • Pay and process claims within designated Authority level.
  • Manage pending inventory of open claims.
  • Primary point of contact for Policyholders throughout claims process.
  • Maintain organization and documentation of claims files (hardcopy and electronic).
  • Heavy phone communication with Customers.
  • Interaction with Vendors, experts, and other carriers.
  • Detailed analysis of records, photos, damage reports, and policies.
  • Completing written correspondence to individuals and businesses daily.
• Litigation File/Management on occasion (5%).
• Attend meetings and help with work environment initiatives (5%).

Benefits

• Protection plans for medical, dental, vision, life, disability, and retirement.
• 401k plan with a company match of 60% of your qualified salary deferral contribution.
• Competitive Compensation – Salaries will be established commensurate with experience. This is a non-exempt hourly position.