Western Reserve Group · 2 weeks ago
Casualty/Liability Claim Specialist
United States
Full-time
Remote
Mid, Senior Level
$77K/yr - $120K/yr
3+ years expWestern Reserve Group is an insurance company seeking a Casualty/Liability Claim Specialist. This role involves managing high-exposure insurance claims, conducting thorough investigations, and negotiating settlements while ensuring compliance with company standards and regulatory requirements.
Commercial InsuranceFinancial ServicesInsurance
Responsibilities
Determines whether proper coverage exists for the type of claim assigned
Investigates thoroughly to obtain relevant facts concerning all aspects of the claim, such as coverage, liability, legal climate, potential exposure, and damages, and makes decisions, where appropriate, on claim resolution
Monitors ongoing case development for appropriateness
Determines the value of the physical damage of property, automobiles, or injuries through physical inspections and use of appropriate tools
Obtains all necessary documentation to support claim evaluation
Recognizes claim file exposures and escalates appropriately
Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience
Completes appropriate reports so that the status of the claim is clearly documented at all times
Determines need for, and engages independent adjusters, cause and origin experts, independent medical examiners or other experts (e.g. reconstructionist, engineer)
Proficiently and proactively handle the claim file through various phases of litigation
Independently review the applicability of coverage and civil law as well as local statutes
Attend mandatory and court ordered litigation events: mediation, pre-trial, trial
Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to coverage, liability and damages
May analyze the impact upon claims policies and procedures and advises Claims Management
Participates in or leads special projects and mentors others, as needed
Initiate prompt and effective communication with all parties having legal or contractual interest in claim presented
Capable of drafting clear and concise letters and other correspondence
Accountable for security of financial processing of claims, as well as security information contained in claims files
Confers directly with policyholders on coverage and resolution issues pursuant to Home Office instructions
Prepare claims for trial, comply with trial alert procedures and notify/update reinsurance when appropriate
Participate in training programs, conferences and departmental and intra-departmental meetings
May be required to be on-call, on a limited basis, for afterhours emergencies
Any other duties deemed necessary by supervisor or management
Qualification
Required
College Degree or Equivalent Experience
At Least 3 years as a Sr. Claim Representative or equivalent preferred
Excellent Written and Verbal Communication Skills
Excellent Interpersonal Skills
Superior Organizational Skills
Efficient Time Management skills
Ability to Demonstrate effective negotiation skills
Excellent verbal and written communication skills. The individual must be able to effectively and clearly communicate with agents, insureds, departmental and company personnel via telephone, fax, e-mail, one-on-one dialogue and small group presentations in a professional manner
The position requires the individual to apply common sense, understanding, reasoning and sound educated judgement coupled with sound Claims training and experience to properly evaluate and analyze claims for recommended action within assigned authority levels
Preferred
IIA, AIC, or CPCU are highly preferred
Company
Western Reserve Group
The Western Reserve Group operates exclusively through over 400 independent insurance agents, providing insurance protection to over 167,000 households,farms and businesses in the states of Ohio & Indiana.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Michael Shutt
Chief Financial Officer
Company data provided by crunchbase