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About the Role
We are seeking a Complex Casualty Claim Specialist experienced in handling Homeowners casualty/bodily injury claims. This role is responsible for the accurate and timely resolution of litigated and non-litigated complex casualty/bodily injury claims within company guidelines and state regulations.
Responsibilities
- Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
- Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
- Communicate reserve and reinsurance notices and reports effectively.
- Communicate promptly and professionally with all parties when answering questions and gathering claim information.
- Adhere to company service standards and claims handling guidelines.
- Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
- Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
- Perform ISO claim input and reporting.
- Resolve claims within designated authority level.
- Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
- Perform other duties as assigned by management and mentor less experienced staff.
Requirements
- A bachelor’s degree is required.
- 8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
- Continued insurance education and/or designations.
- Licensing, or the ability to become licensed, in all states in which Kingstone polices are written.
- Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
- A curious mindset, strong technical skills in claims, and a passion for the field.
- A thorough technical understanding of insurance coverage and claim procedures.
- A team player who demonstrates initiative and works effectively in a remote work environment.
- Detail-oriented with excellent organizational skills.
- Capacity to perform effectively in stressful situations.
- Ability to travel as may be required to attend meetings, trials, mediations, or other legal proceedings.
Skills
- Complex casualty claims handling
- Homeowners casualty/bodily injury claims
- Claim investigation
- Claim evaluation
- Negotiation
- Reserve adjustment
- Communication
- Claims handling guidelines
- Litigation management
- Expense management
- Legal counsel direction
- Mediation
- Arbitration
- Trial attendance
- ISO claim input
- Reporting
- File maintenance
- Mentoring
- Medicare Reporting guidelines
- Medicare Set Aside qualifications
- Technical claims skills
- Insurance coverage understanding
- Claim procedures understanding
- Organizational skills
- Stress management
Location
- Remote
- Northeast (for customer location, requires EST business hours)
Work Type
- Remote
- Full-time
Experience Level
- 8+ years of experience
Education Level
- Bachelor's degree
Salary/Compensations
- $90,000 - $125,000 per year
Benefits
- Comprehensive health benefits
- Life and disability insurance
- 401(k) with company match
- Paid parental leave
- Paid vacation
- Paid holidays
- Birthday off
- Peer recognition program
About the Company
- Kingstone does not accept unsolicited resumes from recruiters or employment agencies.
- In the event of a recruiter or agency submitting a resume or candidate without a signed agreement being in place, we explicitly reserve the right to pursue and hire such candidates without any financial obligation to the recruiter or agency.
- Any unsolicited resumes, including those submitted directly to hiring managers, are deemed to be the property of Kingstone.