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About the Role

We are looking for a highly capable Complex Claim Specialist to join our team and work from our Omaha or Albany office. This position is responsible for the investigation, evaluation, negotiation, and settlement of complex and high exposure general liability claims, including some commercial auto claims. The role involves assessing coverage, contacting relevant parties, engaging experts, making liability and coverage decisions, and negotiating claims to conclusion. It also includes handling UM/UIM exposures, reviewing litigation strategy, and providing excellent customer service.

Responsibilities

Adjudicate complex and high exposure third-party general liability bodily injury and property damage claims under limited technical direction.
Provide superior claims outcomes and develop lasting connections with insureds and brokers.
Analyze claims forms, policies, endorsements, and client instructions to determine coverage.
Address excess policies applicable to the loss.
Complete claim investigations or review initial investigations promptly and thoroughly.
Properly assess and evaluate liability exposure and ensure accurate reserving.
Secure recorded statements and document file activity concisely.
Adjudicate claims with the greatest complexity, severity, and exposure, including excess umbrella policies.
Manage diaries to ensure timely and complete tasks for optimal financial outcomes and resolution.
Complete claim evaluations with settlement authority recommendations and present them to management.
Identify, assign, and coordinate expertise resources for case resolution.
Negotiate claims to a proper resolution within granted authority.
Attend mediations as required.
Handle all fatality and pedestrian losses.
Proactively move files toward proper resolution.
Establish and maintain appropriate diaries on all files.
Consult with defense counsel or medical experts when needed.
Apply cost containment methodology and review medical necessity and reasonable charges.
Utilize third-party bill reviews when applicable.
Report to Underwriting when risk analysis information is developed.
Communicate with agents, providing updates, inquiries, and alerts.
Adjudicate claims according to applicable state mandates/statutes.
Investigate, review, and stay current on applicable case law.
Make liability assessments for first- and third-party losses.
Send required forms and state compliance documents/letters.
Obtain appropriate releases, court-approved settlements for minors, or estate claims, and structured settlements.
Attend pre-suit mediations.
Handle demands for Arbitrations and associated discovery.
Ensure compliance with state regulations and requirements.
Consider alternative dispute resolutions and utilize creative resolutions.
Make daily decisions to determine the appropriate course of action for files.
Demonstrate a passion for strong claim management.

Requirements

A specialized knowledge of adjudicating complex and high exposure auto bodily injury claims, including fatalities.
Exceptional customer service focus.
A minimum of five years of experience adjudicating complex and high exposure third-party general liability bodily injury and property damage claims.
Bachelor's degree from an accredited university or equivalent (two or more industry designations or four years of relevant experience in addition to the minimum requirement).
Licensed Claims Examiner (Must be licensed or have the ability to quickly obtain a license in each jurisdiction requiring one within 120 days).
Good business acumen, understanding how an insurance company operates and generates profit.
Ability to regularly exercise discretion and independent judgment on significant matters.
Proven ability to consistently produce and deliver expected results.
Ability to achieve success through adversity.
Solution-focused approach.
Global mindset.
Flexibility, ability to thrive in change, and resourcefulness in a fast-paced, evolving environment.
Excellent communication skills and ability to build lasting relationships.
Natural and intellectual curiosity to explore all options.
Effective listening and questioning techniques to gather information.
Strong claim negotiation skills.
Knowledge of claims reserving techniques and ability to assess reserve accuracy.
Strong customer focus.
Effective time management skills and ability to prioritize workload.
Demonstrates inner strength and courage to do the right thing.
Proficient in MS Office Suite and other business-related software.
Polished and professional written and verbal communication skills.
Ability to read and write English fluently.
Desire for continued professional development.
Applicants must be legally authorized to work in the United States.
Not able to sponsor or assume sponsorship of employment visas at this time.

Skills

General liability claims handling
Commercial auto claims handling
UM/UIM exposure handling
Litigation strategy review
Customer service
Negotiation
Claim evaluation
Risk analysis
Communication
Time management
MS Office Suite proficiency

Location

In Office - Omaha
In Office - Albany

Work Type

Full-Time
100% in-office

Experience Level

Minimum of five years of experience adjudicating complex and high exposure third-party general liability bodily injury and property damage claims.

Education Level

Bachelor's degree from an accredited university
Two or more industry designations or four years of relevant experience can substitute for a bachelor's degree.

Salary/Compensations

Albany Pay Range: $93,228 - $116,994

Benefits

Competitive compensation package
Performance-based incentives
Health insurance
Dental insurance
Vision insurance
401(k) with company match
Paid time off
Professional development opportunities

About the Company

Farm Family specializes in farm and ranch protection with a wide range of products.
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.

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.
If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400.