Liability Claims Specialist - IW-9694

DGA Careers; Chatham (Chester County); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Liability Claims Specialist to join their dynamic team. This remote role, with occasional travel, involves managing a diverse caseload of bodily injury and subrogation claims. You will play a pivotal role in investigating and adjudicating claims while collaborating with legal counsel to ensure fair resolutions. The company fosters a supportive environment where employees are encouraged to grow professionally and make a positive impact in the community. If you are a detail-oriented problem solver with a passion for claims management, this opportunity is perfect for you.

Qualifications

• 8+ years of experience in bodily injury and liability claims adjudication.
• Strong background in reviewing medical and financial records.

Responsibilities

• Adjudicate auto and commercial bodily injury claims and assess damages.
• Collaborate with legal counsel to resolve claims through mediation.

Skills

Analytical Skills

Problem Solving

Communication Skills

Detail-oriented

Legal Knowledge

Negotiation Skills

Collaboration

Education

Post Secondary Education in business, finance, insurance

Chartered Insurance Professional (CIP) Designation

Tools

Insurance Software

Microsoft Office Applications

Job description

(Remote with travels between London and Chatham for site and office visits)

Are you an experienced Bodily Injury Claims Adjuster seeking a new opportunity? Our client is hiring a Liability Claims Specialist to join a growing team. This role is perfect for a detail-oriented problem solver interested in managing a dynamic caseload of bodily injury and subrogation claims.

At our client, employees are empowered to succeed in a supportive, professional environment while prioritizing client-focused service, allowing the team to fully investigate, understand and resolve claims. Our client will provide the tools and opportunities needed to help you grow in your career while making a meaningful difference in the community.

As a Liability Claims Specialist, you will play a key role in the claims process, assisting policyholders during critical moments by investigating, assessing and adjudicating third-party and first-party liability claims.

Key Accountabilities

• Adjudicate auto, residential and commercial bodily injury claims
• Review and interpret policy wordings to determine where coverage applies
• Investigate the cause of loss and review contracts or agreements to determine liability
• Assess damages by reviewing medical, financial and legal records, re-evaluating the assessment at ongoing intervals as new information comes in
• Collaborate with legal counsel to bring files to resolution through mediation or pre-trial
• Assist in the recovery of subrogation claims and where insureds are not liable or coverage issues arise from the third party including property and auto claims
• Confirm coverage and loss details relating to the event
• Contact the third-party insurance company or third party directly to discuss recovery options
• Lead the claim through the small claims court process
• Attend settlement conferences when necessary
• Represent insureds in first party liability claims
• Review and confirm coverage and determine liability
• Hire the appropriate experts to review and determine damage claims
• Negotiate the resolution of the loss and attend legal proceedings as required
• Bring expertise, in collaboration with the Claims Manager, to build out a best practice framework to standardize the handling of claims associated with the role
• Assist in the development of departmental best practices

Key Qualifications & Attributes

• Post Secondary Education in business, finance, insurance or equivalent work experience
• Working towards progressively or have achieved a Chartered Insurance Professional (CIP) Designation
• 8+ years of related experience in the adjudication of bodily injury, subrogation or first party liability claims
• Experience with adjudication of a wide range of bodily injury claims ranging from minor MVA’s to permanent injuries/fatalities or complex liability scenarios with several entities involved
• Self-starter and detail-oriented with a strong background in reviewing medical and financial records
• Understand the legal process surrounding liability claims and critical analysis on moderate to complex losses
• Detailed knowledge and understanding of how to quickly review a variety of policy wordings, legal contracts or agreements and applying the findings to the legal process
• Experience in taking part in the proceedings of both the Superior and Small Claims Courts, taking part in settlement conferences, mediations, pre-trials and trials
• Comfortable providing direction or instructions to legal counsel on losses
• Skilled in mitigating legal expense by handling files throughout the legal process internally, when applicable
• High integrity and compliance-focused, committed to ethical decision-making and regulatory adherence
• Analytical with excellent problem solving skills and the ability to always seek solutions to overcome obstacles
• Able to lead with exceptional communication and relationship-building skills with the capacity to partner effectively across departments
• Professional and positive attitude with a strong work ethic and commitment to excellence
• Ability to drive change, optimize processes and assist in driving the team toward achieving business objectives
• Collaborative and experienced assisting with or improving existing process and practices
• Deep knowledge of reinsurance practices and industry best practices
• Adaptable to change and thrive in evolving environments
• Proficiency with Insurance Software and Microsoft Office Applications
• Willing and able to travel as needed with a Valid Driver’s Licence and reliable transportation.

Experienced candidates please forward your resume in confidence to or text 437-227-8719. If you are working with another DGA recruiter, feel free to ask them about this position. Thank you to all who apply. Only qualified applicants will be contacted.