Claims Specialist

Jobtailor; Gainesville (FL); On-site; USD 90,000 - 140,000; Full time

Job summary

Jobtailor in Gainesville, FL is seeking an experienced claims professional to oversee a large portfolio of complex property and casualty claims, evaluating compensability and liability while guiding investigations. You will analyze settlements, authorize payments within authority, and maintain detailed claim files, with opportunities to coach staff and contribute to performance management.

Strong negotiation and interpersonal skills are essential to build relationships with insureds, claimants,

Qualifications

• Bachelor’s degree or equivalent experience in a related field.
• Minimum 9 years of experience in property and casualty claims handling.
• Completion of or progress toward professional designation preferred (e.g., AIC).
• Specialized knowledge of insurance policies, coverage, and claims handling procedures.
• Knowledge of industry laws and regulations.
• Excellent analytical, negotiation, and problem-solving skills.
• Advanced ability to organize and prioritize caseloads.
• Excellent interpersonal and communication skills.
• Ability to build relationships and lead negotiations.
• Proven ability to handle confidential information with discretion.

Responsibilities

• Manage a large inventory of complex claims to evaluate compensability and liability.
• Plan and conduct complex claims investigations to confirm coverage and determine liability, compensability, and damages.
• Analyze and negotiate claim settlements and reserves within prescribed authority.
• Attend arbitrations, mediations, depositions, or trials as needed.
• Convey complex coverage and settlement information to insureds, claimants, and external partners.
• Authorize payments within assigned authority limits and ensure timely payment.
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements.
• Potentially oversee performance and coach staff, with a participatory role in talent selection, development, and performance management.
• Perform other duties as assigned.

Skills

Analytical skills

Negotiation

Communication

Problem-solving

Leadership

Organizational skills

Discretion/Confidentiality

Education

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or related field

Job description

• Manage a large inventory of complex claims to evaluate compensability and liability
• Plan and conduct complex claims investigations to confirm coverage and determine liability, compensability, and damages
• Analyze and negotiate claim settlements and reserves within prescribed authority
• Attend arbitrations, mediations, depositions, or trials as needed
• Convey complex coverage and settlement information to insureds, claimants, and external partners
• Authorize payments within assigned authority limits and ensure timely payment
• Maintain accurate and detailed claim files, including correspondence, reports, and settlement agreements
• Potentially oversee performance and coach staff, with a participatory role in talent selection, development, and performance management
• Perform other duties as assigned

Requirements

• Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience
• Generally, a minimum of 9 years of experience in property and casualty claims handling
• Completion of or continuing progress toward a professional designation preferred, such as Associate in Claims (AIC)
• Specialized knowledge of insurance policies, coverage, and claims handling procedures
• Knowledge of industry laws and regulations
• Excellent analytical, negotiation, and problem-solving skills
• Advanced ability to organize and prioritize caseloads
• Excellent interpersonal and communication skills
• Ability to build relationships and lead negotiations
• Proven ability to handle confidential information with discretion

Core Competencies

Demonstrates expertise in managing complex claims, including evaluating compensability and liability, negotiating settlements, and maintaining detailed claim files. Possesses strong analytical, negotiation, and communication skills essential for effective claims handling and relationship building.

Highest-signal resume keywords

• Claims Management
• Negotiation Skills
• Insurance Policies Knowledge
• Analytical Skills
• Bachelor’s Degree in Business Administration

Hard Skills

• Claims Investigation
• Claims Handling Procedures
• Settlement Negotiation
• Liability Evaluation
• Compensability Analysis

Soft Skills

• Interpersonal Skills
• Communication Skills
• Problem-Solving Skills
• Organizational Skills
• Leadership Skills

Certifications & Qualifications

• Associate in Claims (AIC)

Industry Keywords

• Property and Casualty Claims
• Insurance Regulations
• Claims Settlement
• Confidential Information Handling
• Performance Management