Claims Management Specialist Job in Des Moines, Iowa US
Because Selective's quality product line, high service standards and financial stability are a result of a positive work environment offering personal and professional growth, it is no wonder that the cornerstone of the company's success is its long-standing commitment to its employees! Our commitment to integrity, professionalism, and excellence has helped to build our business and, if you share the same commitment to these values, it can help to build your future!
It pays to be Selective. Especially when it comes to a challenging career. At Selective Insurance, we specialize in developing careers for people who share our values of commitment, integrity, and extraordinary service. As one of America's leading regional property and casualty insurance companies we provide a broad range of products to an expanding market in the Mid-Atlantic, Southeast and Midwestern U.S. We have maintained our A+ rating from A.M.Best for an unprecedented 48th consecutive year!
Selective Insurance is an equal opportunity employer.
Claims Management Specialist
Manage all aspects of multi-line claims generated by assigned group of agents including claim examination, investigation, determination of coverage, liability, compensability, subrogation, etc., adjustments, litigation and settlements within limit of assigned authority levels. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
- Receive claim assignments from assigned agents, verify applicability of coverage.
- Determine appropriate methods and extent of needed investigation for all assigned claims and conduct investigation primarily through personal visits and ALS via phone, obtaining medical reports, appraisals, witness and claimant statements/interviews, visual evaluations or other necessary fact-finding methods in order to establish proper coverage
- Ensure proper file documentation and reporting of information secured as result of claim activity. Ensure rationale for settlement that is consistent with company procedures, reporting standards and guidelines, and may also be responsible for submission of claims forms and reports as required by outside agencies.
- Evaluate and adjust claims within limit of assigned authority level. Consult with Claim Manager/Supervisor.
- Determine extent of damages, coordinate and establish repair/damage figures. Enter into final settlement negotiations up to a limit of assigned authority levels and participate in litigation process in conjunction with defense counsel when necessary. Assess recovery potential. Develop information necessary to successfully pursue recovery
- Arrange medical examinations, contractors estimates, or other specialists appointments when necessary
- Act as liaison with attorneys, public adjusters, underwriting department, rehabilitation facilities, investigators or other service vendor as necessary to manage claim including attending trials, arbitration, ADR, conducting face-to-face negotiation
- Assist with monitoring quality of services rendered by appraiser, law firms, structured settlement vendors, rehabilitation vendors, etc. and make recommendations to manager/supervisor
- Establish and maintain effective working relationships with corporate claims, SIU investigations, underwriting, and other corporate personnel to assist in the timely and efficient settlement of assigned claims
- Responsible for automobile travel within territory traveling to agent offices. Car travel represents approximately 40-50% of employee's time
- College degree preferred or equivalent experience with 6-10 years experience in related claims handling.
- Preferred:
- 1-2 years appraisal experience.
- 1 year data entry experience.
- Excellent PC skills;
- Excellent presentation and public speaking skills
- Superior verbal and written communication skills;
- Strong time management and organizational skills;
- Self-starter with ability to work independently;
- Ability to travel and work varying shifts
- Ability to prepare own damage estimates.
- Ensure positive and effective relationships with all assigned agents.
- Must have valid state-issued driver's license in good standing.
