Claims Specialist

W. R. Berkley Corporation; Atlanta, Northern (GA, KY); Hybrid; USD 60,000 - 90,000; Full time

Job summary

Vela Insurance Services in the Atlanta area seeks a Claims Specialist to investigate, evaluate, negotiate, and resolve litigated and non-litigated property damage, personal and advertising injury, and claims of medium exposure and complexity. This role reports to a remote manager and operates under limited supervision.

Key functions include analyzing coverage, evaluating liability and damages, managing litigation, establishing reserves, maintaining files, negotiating settlements, coordinating

Qualifications

• Four-year college degree or commensurate experience and training.
• Professional designations (AIC, SCLA, CRIS or equivalent) preferred.
• 3–5+ years of claims handling experience or equivalent.

Responsibilities

• Analyze coverage issues and prepare letters.
• Investigate and evaluate liability and damages.
• Manage litigation with approved counsel and budgets.
• Establish reserves and maintain file documentation.
• Negotiate settlements within authority and attend mediations.
• Coordinate with outside vendors and maintain client relationships.
• Identify opportunities for subrogation or transfer of risk.
• Meet state licensing requirements and comply with regulations.

Skills

Claims handling

Negotiation

Litigation management

Education

Four year college degree

AIC

SCLA

CRIS

Job description

Company Details

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments: Construction, Specialty Casualty, Velocity Small Business & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

Responsibilities

The Claims Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of medium exposure and complexity. This individual will work under limited supervision, with a remote manager.

Key Functions:

• Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
• Investigate and evaluate liability
• Investigate and evaluate damages
• Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
• Establish timely reserves within authority and re-evaluate throughout the life of the claim
• Maintain up-to-date, appropriate file documentation and written file notes
• Maintain an active diary and productive file inventory
• Timely completion of all required large loss reporting
• Negotiate settlements within authority limit granted, and attend mediations, mandatory settlement conferences, and/or alternative dispute resolutions
• Proactively control the work product and expense of outside vendors
• Develop and maintain positive customer relationships and provide superior customer service
• Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
• Ability to Work with designated assigned accounts
• Recognize and investigate fraud
• Comply with deductible/self-insured retention recovery protocol
• Meet and maintain all state licensing requirements at all times (see qualifications below)
• Adhere to all statutory regulations, unfair claims practices acts, and corporate best practices
• All other duties as assigned

Qualifications

• Four (4) year college degree, or commensurate experience and training
• AIC, SCLA, CRIS or other similar industry designations preferred
• 3-5 or more years claims handling experience or equivalent experience

  Additional Company Details

  We do not accept unsolicited resumes from third party recruiting agencies or firms.

  Sponsorship Details

  Sponsorship not Offered for this Role