Auto Garage Claims Specialist

Universal Shield Insurance Group; Dublin (OH); Sur place; USD 75 000 - 105 000; Plein temps

Avantages offerts par ce poste

Medical coverage with HSA

Dental and vision insurance

401(k) with company match

Voluntary benefits

Résumé du poste

Universal Shield Insurance Group in Dublin, OH is seeking an Auto Garage Claims Specialist. You will manage both litigated and non-litigated auto and casualty claims, investigate coverage, gather information, and issue determinations with input from in-house counsel as needed.

The role requires 5–10 years of claims experience, understanding of insurance policies and exclusions, strong interpersonal skills, and the ability to work under limited supervision to reach timely settlements when

Qualifications

• Minimum 5–10 years of related professional experience handling auto and casualty claims.
• Understanding of general legal concepts and insurance policies.
• Strong interpersonal and public relations skills; excellent communication.
• Ability to interpret exclusions and endorsements and identify coverage issues.

Responsabilités

• Maintain a workload of litigated and non-litigated auto/casualty claims.
• Investigate coverage, gather information, issue determinations, and consult counsel as needed.
• Adjust assigned claims per policies, laws, and authority; coordinate with independent adjusters.
• Make independent decisions with limited supervision using coding and regulatory knowledge.
• For litigated claims, assign defense counsel and monitor strategy toward settlement or judgment.
• Prepare and present claim recommendations to upper management.
• Identify sources of recovery and subrogation; handle mediations or trials when appropriate.
• Coordinate with SIU to prevent false or inflated claims and ensure file accuracy.
• Keep insureds updated; maintain timely, professional communication.

Connaissances

Claims handling

Analytical skills

Interpersonal skills

Litigation management

Formation

Bachelor’s Degree

Description du poste

Auto Garage Claims Specialist

Universal Shield Insurance Group Dublin, Ohio, United States

About this position

Universal Shield Insurance Group is a hybrid property and casualty insurance organization and insurtech providing innovative insurance solutions to underserved small-business markets on both an admitted and surplus lines basis.

Guided by an entrepreneurial spirit, we combine insurance expertise with modern technology to make doing business faster and more intuitive. Through our digital agency portals, direct-to-consumer platforms, and B2B solutions, we streamline the insurance experience and enable efficient, competitive underwriting decisions for our partners and customers.

Key Responsibilities

• Maintains claim load of litigated and non-litigated claims.
• Investigates and verifies coverage; investigates losses by gathering all pertinent information; issues coverage determinations; and consults with in-house coverage counsel as appropriate.
• Investigates, evaluates, and adjusts assigned claims in accordance with all company policies and procedures, with all applicable laws and regulations, and within assigned authority. May use independent adjusters to assist in claim investigations as appropriate.
• Exercises independent decision-making with minimal to moderate supervision and direction on assigned claims, using knowledge of applicable codes, laws, standards, and regulations.
• For litigated claims, assigns defense counsel and ensures cases are handled effectively and efficiently until final resolution through settlement or judgment. Collaborates with panel counsel on claims strategy and ensures counsel is complying with the company’s outside counsel guidelines.
• Prepares and presents claim recommendations to upper management.
• Investigates and identifies all sources of recovery and subrogation for assigned claims.
• When necessary and appropriate, attends mediations, arbitrations, or trials on assigned claims.
• Works with SIU to protect the company from false or inflated claims.
• Ensures information in claim files is timely documented, accurate, current, and complete.
• Maintains active tasks for assigned claims files, with the current plan of action.
• Responds to insureds and third parties in a prompt, courteous, and professional manner.
• Relays status of claims to insureds in a timely manner.
• Researches and resolves problems, questions, or concerns or refers them to management as appropriate.
• Attends meetings and training as necessary.
• Keeps management and underwriting team apprised of developments and emerging trends.
• Handles special projects and additional responsibilities as assigned.

Job Requirements

• Bachelor’s Degree required.
• Required insurance certifications and licenses. If not licensed, must complete licensure within 60 days of employment.
• Minimum 5-10 years of related professional experience handling auto and casualty claims. Prior litigation management experience preferred. Understanding of general legal concepts is required. Comprehensive knowledge of insurance policies and the ability to understand complex documents is required.
• Strong interpersonal and public relations skills.
• Solid analytical skills.
• Ability to identify and understand coverage issues with good knowledge of exclusions and endorsements.
• Good organizational, problem-solving, and prioritization skills.
• Ability to use related office and computer equipment and administrative claims systems with training.

Universal Shield Insurance Group offers a competitive benefits package that supports employees’ health, wellness, financial well-being, and work-life balance. Benefits include medical coverage with company-contributed HSA, dental and vision insurance, company-matched 401(k), and optional voluntary benefits.