Senior Casualty Claims Representative jobs in United States
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Acadia Insurance (a Berkley Company) · 1 day ago

Senior Casualty Claims Representative

Acadia Insurance is a regional property casualty insurer that values its employees, customers, and communities. They are seeking a Senior Casualty Claims Representative to investigate, evaluate, and resolve commercial casualty claims while ensuring compliance with company standards and state regulations.

Commercial InsuranceInsurance
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Responsibilities

Investigate, evaluate and resolve commercial casualty claims in accordance with company standards, procedures, and state regulatory requirements. Claims handled may include General Liability bodily injury and property damage, Commercial Automobile bodily injury including Uninsured/Underinsured Motorist claims, pollution and environmental exposures, construction defect, product liability bodily injury and property damage, employment-related practices claims and other types of commercial exposures
Analyze and interpret commercial policy language in conjunction with specific facts of loss to reach appropriate coverage decisions, and effectively communicate the company’s coverage position verbally and in writing
Compose a variety of other written communications to insureds, claimants, attorneys and agents in a professional and error-free manner
Conduct detailed, comprehensive claim investigations including on-site scene examinations and in-person witness interviews; attend mediations, depositions and trials, both virtually and in-person
Evaluate and document damages to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure
Negotiate effectively and in good faith to achieve fair and accurate claim settlements
Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or trial, as appropriate
Retain experts and vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses
Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service
Effectively present cases in roundtable discussions with peers and members of management at all levels
Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications
Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia’s business
Maintain a strong relationship and frequent communication with Acadia’s agency partners
Serve as a mentor and technical resource for trainees and less-experienced claim professionals
Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process
Attend internal and external seminars and other training events and provide feedback to peers and/or members of management
Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements
Pursuit of industry-related professional designations is encouraged
Perform other duties as assigned

Qualification

Commercial liability claimsClaims resolutionNegotiation skillsInsurance coursework AICInsurance coursework CPCUWritten communicationVerbal communicationRelationship managementCustomer serviceComputer skillsOrganizational skillsTechnical mentoring

Required

5 or more years of experience in adjusting commercial liability claims
Proven record of increasing responsibility, appropriate claim outcomes and excellent customer service
Investigate, evaluate and resolve commercial casualty claims in accordance with company standards, procedures, and state regulatory requirements
Analyze and interpret commercial policy language in conjunction with specific facts of loss to reach appropriate coverage decisions
Effectively communicate the company's coverage position verbally and in writing
Compose a variety of other written communications to insureds, claimants, attorneys and agents in a professional and error-free manner
Conduct detailed, comprehensive claim investigations including on-site scene examinations and in-person witness interviews
Attend mediations, depositions and trials, both virtually and in-person
Evaluate and document damages to ensure accurate and timely reserves
Immediately escalate to management cases with significant exposure
Negotiate effectively and in good faith to achieve fair and accurate claim settlements
Proactively manage litigated claim files from inception to closure
Collaboration with defense counsel to determine and execute an appropriate plan of action
Bring litigated cases to resolution either by negotiated settlement or trial, as appropriate
Retain experts and vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses
Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service
Effectively present cases in roundtable discussions with peers and members of management at all levels
Appropriately and clearly document all notes and file activity in a paperless claim system
Compose detailed periodic reports including claim summary reports and large loss notifications
Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia's business
Maintain a strong relationship and frequent communication with Acadia's agency partners
Serve as a mentor and technical resource for trainees and less-experienced claim professionals
Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process
Attend internal and external seminars and other training events and provide feedback to peers and/or members of management
Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements
Perform other duties as assigned
Bachelor's degree (B. A.) and minimum of 5-7 years of related experience and/or training; or equivalent combination of education and experience
5-7 years of commercial liability claims
Excellent organizational skills, ability to handle multiple tasks and effectively prioritize workload
Demonstrated depth in negotiation and claims resolution skills
Strong computer skills and ability to work with multi-faceted systems
Ability to effectively and independently manage complex workload while exhibiting very sound judgment
Excellent written and verbal communication skills
Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork
Valid driver's license required

Preferred

Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred

Benefits

Health
Dental
Vision
Dental
Life
Disability
Wellness
Paid time off
401(k)
Profit-sharing plans

Company

Acadia Insurance (a Berkley Company)

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Acadia Insurance specializes in commercial property casualty insurance. Our company began in 1992 insuring businesses in Maine.

Funding

Current Stage
Growth Stage

Leadership Team

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Simone Grimes, CPA, MBA
Chief Financial Officer
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Steve Rich, CPCU
Senior Vice President & Chief Claims Officer
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Company data provided by crunchbase