Carolina Casualty (a Berkley Company) · 1 hour ago
Complex Claims Specialist
Greater Indianapolis
Full-time
Onsite
Mid, Senior Level
3+ years expCarolina Casualty is a member company of W. R. Berkley Corporation, specializing in liability and insurance solutions for the commercial auto markets. The Complex Claims Specialist is responsible for high-quality claim handling, analyzing liability, investigating losses, and ensuring timely resolution of claims.
Financial ServicesInsurance
No H1B
Responsibilities
Adjusts and resolves complex to severe commercial claims that may also include all phases of litigation for our Bodily Injury team
Plans and conducts investigations of high severity claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate
Assesses policy coverage for submitted claims and notifies the insured of any issues
With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters
Determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim
Reviews and analyses claim documentation and legal filings
Assesses actual damages associated with claims and confidently conducts negotiation within assigned authority limits, to settle claims
Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company
Acts as senior technical professional on team, assisting team members with escalated issues
Develops and maintains excellent rapport with our agency force, insureds, claimants, experts, attorneys, and internal customers
Attend mediations, trials, and overnight travel as needed
Qualification
Required
Bachelor's Degree
Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree (or equivalent training) plus 3 to 5 years directly related work experience
Ability to investigate and evaluate complex liability claims
Ability to analyze available information and make effective decisions
Ability to evaluate damages and negotiate fair settlements
Advanced analytical skills
Advanced knowledge of coverage within the team's specialty or focus
Litigation and mediation management experience required
Excellent verbal and written communication skills
Strong background in auto and general liability coverage analysis particularly involving commercial claims with complex issues
Benefits
Competitive compensation plan
Robust benefits package
Company
Carolina Casualty (a Berkley Company)
Responsive Service • Innovative Solutions • Financial Stability Carolina Casualty is dedicated to the trucking and public transportation insurance industry and delivers value through superior underwriting expertise and claim service.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Robert Sprague
CUO & VP, Underwriting
Company data provided by crunchbase