Combined Insurance ESIS - ProClaim Sr. Claim Rep in United States

The Claim Specialist is responsible for investigating; settling high exposure, high risk claims. Insure high level of customer service and claim file quality.


Duties may include, but are not limited to: * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit. * Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. * Directs and monitors assignments to experts and underlying defense counsel. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. * Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable. * Travels to conferences, mediations, and trials as necessary. SCOPE INFORMATION:

This position reports to a line of business Claims Team Leader, Claims Manager or other more senior claims leader.

MINIMUM REQUIREMENTS: * Should have high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file management. Experience with International Claims preferred. * Minimum of 5 years General Liability, Products and Automobile claim handling experience. * College degree or equivalent business experience. * Ability to work independently and assimilate learning materials on many different subjects from various sources. * Excellent interpersonal communications and negotiation skills. * Ability to deal with customers in a professional manner. * Authoritative knowledge of the company’s coverage, products, services, and liabilities. * Ability to self-motivated and self-start. * Ability to make independent decisions using he company’s best practices for guidance. * Excellent verbal and written communication skills. * Strong interpersonal, negotiation and customer service skills. * Capable of dealing with highly visible and demanding customers. * Must be able to effectively work in a team environment. DESIRED QUALIFICATIONS: * Bachelor’s degree in Business Administration or associated field. * Multiple jurisdictional claims handling experience. * Completion of basic IEA claims courses. * IEA certification. * Self Insured Certificate. * ARM 54, 55 and 56. * CPUC certification.

Job: *Claims

Title: ESIS - ProClaim Sr. Claim Rep

Location: null

Requisition ID: 323104