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W.R. Berkley
Claims SpecialistW.R. Berkley • Atlanta, GA, United States
Claims Specialist

Claims Specialist

W.R. Berkley • Atlanta, GA, United States
5 days ago
Job type
  • Full-time
Job description

Claims Specialist

The Claims Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of medium exposure and complexity. This individual will work under limited supervision, with a remote manager.

Key Functions:

  • Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
  • Investigate and evaluate liability
  • Investigate and evaluate damages
  • Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
  • Establish timely reserves within authority and re-evaluate throughout the life of the claim
  • Maintain up-to-date, appropriate file documentation and written file notes
  • Maintain an active diary and productive file inventory
  • Timely completion of all required large loss reporting
  • Negotiate settlements within authority limit granted, and attend mediations, mandatory settlement conferences, and/or alternative dispute resolutions
  • Proactively control the work product and expense of outside vendors
  • Develop and maintain positive customer relationships and provide superior customer service
  • Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
  • Ability to Work with designated assigned accounts
  • Recognize and investigate fraud
  • Comply with deductible/self-insured retention recovery protocol
  • Meet and maintain all state licensing requirements at all times (see qualifications below)
  • Adhere to all statutory regulations, unfair claims practices acts, and corporate best practices
  • All other duties as assigned

Qualifications

  • Four (4) year college degree, or commensurate experience and training
  • AIC, SCLA, CRIS or other similar industry designations preferred
  • 3-5 or more years claims handling experience or equivalent experience
  • In-depth knowledge of the insurance industry, including legal and regulatory environments
  • A strong functional and developing knowledge of substantive laws and legal procedure
  • Applicable adjusters license(s) to include: CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY

Sponsorship Details

Sponsorship not Offered for this Role

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Claims Specialist • Atlanta, GA, United States

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