Claim Technical Specialist- Equine

Core Specialty Insurance Holdings, Inc.; Lexington (KY); On-site; USD 65,000 - 90,000; Full time

Job summary

Core Specialty Insurance Holdings, Inc. is seeking a Claims Technical Specialist to manage claims for equine policies. Ideal candidates will be based in Lexington, KY or Ocala, FL and bring deep knowledge of good-faith claims handling and strong investigative skills.

Responsibilities include applying guidelines, gathering information, coordinating with agents and external counsel, and delivering superior service. A valid adjuster license and experience in equine or farm insurance are preferred.

Qualifications

• College degree preferred.
• Experience in equine, livestock or farm insurance claims.
• Knowledge of state-specific claim handling guidelines and good faith claims handling.

Responsibilities

• Ensure compliance with claim handling guidelines for coverage, investigation, evaluation, and resolution.
• Gather and analyze information to evaluate claims and make decisions within authority.
• Maintain accurate data and documentation of claims in the system.
• Interact with agents and external customers to resolve questions and deliver excellent service.
• Direct and monitor assignments to experts and outside counsel.
• Participate in special projects and assist team members as needed.

Skills

Good faith claims handling

MS Office

Electronic claim system

Adjuster license

Equine insurance knowledge

Customer service

Education

College degree preferred

Tools

Electronic claim system

Claims management software

Job description

As the Claims Technical Specialist, you will handle Claims for Equine related policies. The ideal candidate will be located in either Lexington, KY or Ocala. FL.

Key Accountabilities/Deliverables:

• Ensure compliance with established claim handling guidelines regarding coverage, investigation, evaluation, and resolution of claims.
• Gather and analyze information necessary to make an accurate evaluation of the claim by delivering effective resolution of claims, make decisions within established authority levels and identify potential issues.
• Maintain accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
• Work with external customers as well as agents to address questions, resolve problems and maintain rapport while providing an exceptional level of customer service.
• Create innovative and effective approaches and solutions that have a positive impact on business results and delivers superior claim services.
• Direct and monitor assignments to experts and outside counsel.
• Participate in special projects or assist other team members as needed.
• In addition to the above key responsibilities, may be required to undertake other duties from time to time as the Company may reasonably require.

Technical Knowledge and Understanding:

• Posseses a detailed understanding of good faith claims handling.
• Have working knowledge of state specific claim handling guidelines and legal principles as they pertain to equine insurance.
• Computer skills – good working knowledge of MS Office
• Previously utilized an electronic claim system
• Possess valid adjuster license
• Successful completion of insurance courses or industry designations

Experience:

• College degree preferred
• Equine Industry knowledge preferred
• A minimum of 5 years’ experience in equine, livestock or farm insurance claims

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over work authorization sponsorship now or in the future for this position. At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program.