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About the Role

We are looking for a highly capable Senior Claims Specialist to join our team and work from our Omaha or Albany office. This position reports to a manager based in Albany and is responsible for the investigation, evaluation, negotiation, and settlement of commercial auto claims, primarily in the Northeastern United States. Our Senior Claims Specialists contribute to providing superb results for our clients.

Responsibilities

Adjudicate serious commercial auto bodily injury claims of higher complexity, including first and third-party losses, according to applicable state mandates.
Provide laser-focused customer service to our clients by providing superior claims outcomes and developing meaningful and long-lasting connections with our insured and brokers.
Analyze claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
Investigate claims promptly and thoroughly, including interviewing all involved parties in order to determine the facts of the loss.
Manage diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
Create and review reserves in line with market and Farm Family's reserving policy.
Determine the appropriate method of inspection or review of facts.
Identify, assign, and coordinate the assignment and coordination of expertise resources to assist in case resolution.
Evaluate claims for bodily injury, review medical reports-records and bills.
Calculate past/future medical expenses, past and future wage loss where applicable.
Analyze the value of Bodily Injury Claims for compensation, considering both past and future values of compensation.
Confirm and/or perform permanency ratings according to AMA guidelines to assess exposure and value of the claim.
Ensure compliance with state regulations and requirements.
Settle straightforward claims in line with authority limits and adhere to organizational referral procedures.
Negotiate in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
Prepare reports for file documentation.
Report to claims management and underwriters on claims trends and developments.
Process mail and prioritize workload.
Complete telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Exhibit a strong appreciation and passion for claim management.

Requirements

A broad theoretical knowledge of commercial automobile bodily injury claims, as well as an exceptional customer service focus.
Must be able to obtain necessary state licenses and maintain Continuing Education (CE) requirements as needed.
Must have good business acumen (i.e. understand how an insurance company works and makes money, including how this role impacts both Argo Group and our customers’ ability to be profitable).
Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
A strong focus on execution in getting things done right.
Proven ability to consistently produce and deliver expected results to all stakeholders.
Ability to develop and maintain productive relationships with clients, business partners and organizational peers with a focus on timely and meaningful exchanges of information.
Must have excellent communication skills and the ability to build lasting relationships.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Exhibit natural and intellectual curiosity in order to consistently explore and consider all options and is not governed by conventional thinking.
Desire to work in a fast-paced environment.
Excellent evaluation and strategic skills required.
Strong claim negotiation skills a must.
Ability to take proactive and pragmatic approach to negotiation.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g. arbitration and mediation) and when these are used.
Must demonstrate the ability to exercise sound judgment working under technical direction.
Demonstrates inner strength. Has the courage to do the right thing and demonstrates it on a daily basis.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants.
Polished and professional written and verbal communication skills. Presents information clearly, concisely, and accurately.
The ability to read and write English fluently is required.
Must demonstrate a desire for continued professional development through continuing education and self-development opportunities.
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

Skills

Commercial auto claims
Customer service
Claims analysis
Investigation
Diary management
Reserving
Bodily injury evaluation
Medical report review
Negotiation
Reporting
Time management
MS Office Suite
Guidewire ClaimsCenter
ImageRight

Location

Omaha
Albany

Work Type

Full-Time
In-Office
100% in-office

Experience Level

Senior
A minimum of two years' experience adjudicating claims is required.

Education Level

Bachelor’s degree from an accredited university required.
Two or more insurance designations or four additional years of related experience adjudicating claims beyond the minimum experience required below may be substituted in lieu of a degree.
Insurance designations, such as ACLS, AIC, AINS, CCLS, & FCLS

Salary/Compensations

Albany: $75,174 - $ 90,576

Benefits

Comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.
Competitive compensation package
Performance-based incentives

About the Company

Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage.
Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S.
The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.

Equal Opportunity

We believe in building an inclusive and diverse team, and we strive to make our office a welcoming space for everyone. We encourage talented people from all backgrounds to apply.