Complex Claim Specialist, Transportation

AmTrust Financial Services Inc.; United States; On-site; USD 95,000 - 130,000; Full time

Benefits offered by this job

Medical & Dental Plans

Life Insurance

Flexible Spending Account

401k Savings Plan

Paid Time Off

Job summary

AmTrust Financial Services Inc. in the United States is seeking a Transportation Liability Complex Claim Specialist to investigate, evaluate and disposition bodily injury claims through effective research, negotiation, and interaction with internal and external counsel, insureds and claimants.

You will formulate proper resolution strategies for high-exposure cases and work with legal partners for optimal outcomes.

Qualifications

• Bachelor’s degree or equivalent experience.
• 10+ years of Motor Carrier and/or Commercial Auto claims handling experience, including 5+ in handling complex and/or litigated claims.
• State licensure as required.
• Expert in negotiation, investigation and evaluation of claims.
• Demonstrated proficiency with MS Office suites.
• Demonstrated skills in investigation, evaluation and negotiation.
• Strong knowledge of insurance theory and practices.
• Periodic travel to attend mediations, trials or other related meetings is required.
• Ability to professionally communicate and interact with internal and external parties; to influence without damaging relationships.

Responsibilities

• Investigates or ensures appropriate investigation of the claim or coverage, including review and evaluation of underlying facts and circumstances.
• Work with litigation partners to ensure selection and utilization of legal counsel and that optimal resolution strategy is employed.
• Determines, reviews and analyzes coverage. Evaluates coverage issues and risk transfer opportunities.
• Evaluates, establishes, maintains and adjusts appropriate levels of reserves based on facts, company standard and experience.
• When appropriate, retains proper experts to aid in the evaluation, investigation and negotiation of Claims.
• Gathers, analyzes and communicates key issues clearly in Claims files and other communications.
• Keeps current with market trends and demands.
• Performs other functionally related duties as assigned.
• Due to the nature of this role, travel, including overnight travel, is required.

Skills

Negotiation

Investigation

Evaluation

Communication

Insurance theory

Stakeholder management

Licensure

Education

Bachelor’s degree or equivalent experience

CPCU/AIC/ARM or other claims certification preferred

Tools

MS Office

Job description

Overview

The Transportation Liability Complex Claim Specialist is responsible for prompt and efficient investigation, evaluation and disposition of bodily injury claims through effective research, negotiation and interaction with internal and external counsel, insureds and or claimants. Overall responsibility for formulating proper resolution strategy to ensure optimal outcome. Part of a team that directly handles the largest exposure or severity and the most complex claims.

Responsibilities

• Investigates or ensures appropriate investigation of the claim or coverage, including review and evaluation of underlying facts and circumstances.
• Work with litigation partners to ensure selection and utilization of legal counsel and that optimal resolution strategy is employed. Applies company principles and standards including planning, organizing and monitoring legal panel services and cost in partnership with internal legal counsel.
• Determines, reviews and analyzes coverage. Evaluates coverage issues and risk transfer opportunities.
• Evaluates, establishes, maintains and adjusts appropriate levels of reserves based on facts, company standard and experience.
• When appropriate, retains proper experts to aid in the evaluation, investigation and negotiation of Claims.
• Leverages strong critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
• Exhibits expertise in negotiation of claims after gaining effective leverage points to effectuate optimal outcome. Gains trust of other parties to negotiations and demonstrates good sense of timing. Approaches discussions from merits or strengths of case.
• As part of a team, provides insights and input when reviewing claims of others. May be sought out by others for advice.
• Writes in a clear, succinct and fact-based manner in Claims files as well as in other communication.
• Provides for the proper and effective diary entries based on the facts.
• Establishes and maintains effective relationships, gaining respect and trust of internal and external resources and customers.
• Acts in a mentoring role for field office adjusters through roundtable discussions and special projects.
• Keeps current with market trends and demands.
• Performs other functionally related duties as assigned.
• Due to the nature of this role, travel, including overnight travel, is required.

Qualifications

• Bachelor’s degree or equivalent experience

• 10+ years of Motor Carrier and/or Commercial Auto claims handling experience, including 5+ in handling complex and/or litigated claims.

• State licensure as required

• Expert in negotiation, investigation and evaluation of claims

• Demonstrated proficiency with MS Office suites

• Demonstrated skills in investigation, evaluation and negotiation

• Strong knowledge of insurance theory and practices

• Periodic travel to attend mediations, trials or other related meetings is required.

• Ability to professionally communicate and interact with internal and external parties; to influence without damaging relationships.

Preferred:

• Multi-line experience.

• Multijurisdictional experience may be required based on specific Line of Business

• CPCU designation, AIC, ARM, or other claims certification preferred.

This job description is designed to provide a general overview of the requirements of the job and does not entail a comprehensive listing of all activities, duties, or responsibilities that will be required in this position. AmTrust has the right to revise this job description at any time.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.