Claims Specialist I, II, Sr. jobs in United States
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Entergy · 9 hours ago

Claims Specialist I, II, Sr.

Entergy is a provider of essential services, and they are seeking a Claims Specialist to investigate, evaluate, and resolve liability claims. The role involves interacting with various stakeholders and overseeing the claims process from start to finish, ensuring thorough documentation and communication.

Electrical DistributionEnergyMarketingPower GridRetail TechnologyTrading Platform

Responsibilities

Handles claims in assigned territories from start to finish, including thorough liability investigations and resolutions based on sound claims adjusting best practices and company guidelines. Oversees the activities of contracted vendors when utilized
Interacts with field employees and customer service functions, answering questions, explaining liability and other technical issues, while informing Claims hierarchy of all claim-related circumstances (i.e.: customer complaints, regulatory/executive complaints, etc.) requiring Management intervention/response
Ensures completion of thorough internal claim-status communications to management/leadership and other departments as appropriate
Ensure thorough claim-status communications when appropriate to Legal, Risk Management, excess insurance broker/carriers, etc., including timely issuance of reports when appropriate
Follows protocols in establishing reserves/receivables and securing settlement authority per guidelines. Ensures all claims are properly documented and assertively handled. Ensure all claims are properly reserved for anticipated liabilities or recoveries, reviewing reserve adequacy at least once per month, and properly requesting authority to adjust large reserves
Ensures that all claims are properly coded in the claims database with respect to workgroup, cause of incident, charging of payments/recoveries, etc. Ensure thorough running notes and formal reporting is maintained in all claim files per requirements
Identifies opportunities for process improvements and spend/cost reductions, often participating on related teams
Participates in Safety training/reporting programs, storm response teams and in acts of volunteerism

Qualification

Liability claims adjustingClaims resolutionLegal liability understandingCustomer serviceProcess improvementConflict resolutionSafety commitmentComputer applicationsBehavior-based questionsClaims databaseProblem solvingCommunication skillsOrganizational skillsTeam collaborationIndependent workNegotiation skillsTime management

Required

Bachelor's degree, generally in Liberal Arts, Business, Insurance or Health Administration
Customer Service Spec I: 3-5 years of liability claims adjusting experience with property & casualty insurer, third-party administrator or self-insured employer group
Customer Service Spec II: 5+ years of liability claims adjusting experience with property & casualty insurer, third-party administrator or self-insured employer group
Customer Service Spec Sr: 10+ years of liability and/or subrogation claims adjusting experience with property & casualty insurer, third-party administrator or self-insured employer group
Commitment to Safety
Ability to explain the processes of investigating, evaluating, negotiating, resolving, documenting and reporting-on complex claims
Understanding elements of compensability, legal liability, fact-finding/discovery and methods for claim adjudication
Ability to communicate with all levels throughout an organization, resolve conflict, accept push-back and criticism, understand 'economic' decision-making, prioritize work, operate standard computer applications, successfully answer required behavior-based questions
Understanding elements of legal liability, fact-finding/discovery and methods for claim resolution/adjudication
Acts as a resource for colleagues with less experience; may lead projects with manageable risks and resource requirements
Solves complex problems; takes a new perspective on existing solutions; exercises judgment based on the analysis of multiple sources of information
Impacts a range of customers, operational, project or service activities within own team and other related teams; works within broad guidelines and policies
Ability to explain difficult or sensitive information; works to build consensus
Ability to prioritize and organize work
Ability to work independently in a fast-paced environment with diverse internal/external stakeholders
Ability to operate computer applications, such as Word, Excel, PowerPoint and claims database
Licensed Claims Adjuster (may be secured within the first year of employment)

Preferred

Master's degree a plus
Desired: Industry claims designation (SCLA, CWCP, AIC, etc.)

Company

At Entergy (NYSE: ETR), we power life.

Funding

Current Stage
Public Company
Total Funding
$1.3B
2025-03-17Post Ipo Equity· $1.3B
1985-05-03IPO

Leadership Team

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Drew Marsh
Chair and Chief Executive Officer
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John O. Hudson III
SVP, federal policy, regulatory and government affairs
Company data provided by crunchbase