Senior Casualty Claims Representative

Western National Group & Umialik Insurance; Seattle (WA); Hybrid; USD 82,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

401(k) plan with match

Tuition reimbursement

Paid time off

Bonus opportunities

Hybrid/Remote options

Job summary

Western National Group & Umialik Insurance in Seattle, WA is seeking a Senior Casualty Claims Representative to investigate, evaluate, negotiate, and resolve multi-line insurance claims within settlement authority. You will handle moderate to high complexity claims, maintain reserves, communicate with insureds, claimants, agents, and vendors, and provide guidance to teammates while pursuing fair outcomes.

A Bachelor’s degree or equivalent experience is required and commercial lines claims

Qualifications

• Bachelor’s degree or equivalent experience in lieu of degree acceptable.
• Strong understanding of industry practices, standards, and claims concepts.
• Prior claims experience with a strong preference for commercial lines claims experience.
• Proficient oral and written communication skills.
• Ability to multitask and solve problems.

Responsibilities

• Handles moderate to high complexity claims within settlement authority.
• Ensures customer service excellence.
• Investigates and reviews policy forms, facts, and documents related to claims to make appropriate decisions on claims resolution, and recognizes claim file exposures and escalates appropriately.
• Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience.
• Maintains appropriate reports to ensure the status of claims is clearly documented.
• Provides direction to outside resources.
• Acts as a resource to other members of the team.
• Makes well-reasoned recommendations to management on claim plan of action.
• Recognizes problems or situations that are new or without clear precedent and makes recommendations to solve problems.
• Finds solutions using a systematic, multi-step approach.
• Develops improvements and innovations to enhance performance.
• Conducts regular contact with customers (insureds, claimants, agents) as well as regular contact with employees across the organization.
• Conducts regular contact with outside vendors.
• Performs special projects and other duties as assigned.

Skills

Claims handling

Commercial lines claims

Multitasking

Communication

Analytical thinking

Education

Bachelor’s degree or equivalent experience

Tools

Core claim systems

Office software

Job description

Description

Who are we?

Western National Insurance Group is a private mutual insurance company with over 120 years of experience serving customers' property-and-casualty insurance needs in the Midwestern, Northwestern, and Southwestern United States. Known as “The Relationship Company”, we define success as a measure of the relationships we’ve built over time. In everything that we do, we know that delivering a friendly and helpful interaction makes for a better experience for everyone involved. That’s the power of “nice”. At Western National, nice is something we work to bring to every person and organization with whom we partner and serve.

Does this opportunity interest you?

Western National is seeking a Senior Casualty Claims Representative to join our team!

The individual in this role will have the opportunity to investigate, evaluate, negotiate, and resolve multi-line insurance claims as assigned.

What are the responsibilities and opportunities of this role?

• Handles moderate to high complexity claims within settlement authority.
• Ensures customer service excellence.
• Investigates and reviews policy forms, facts, and documents related to claims to make appropriate decisions on claims resolution, and recognizes claim file exposures and escalates appropriately.
• Establishes and reviews proper reserves for each claim based upon thorough investigation, evaluation, and experience.
• Maintains appropriate reports to ensure the status of claims is clearly documented.
• Provides direction to outside resources.
• Acts as a resource to other members of the team.
• Makes well-reasoned recommendations to management on claim plan of action.
• Recognizes problems or situations that are new or without clear precedent and makes recommendations to solve problems.
• Finds solutions using a systematic, multi-step approach.
• Develops improvements and innovations to enhance performance.
• Conducts regular contact with customers (insureds, claimants, agents) as well as regular contact with employees across the organization.
• Conducts regular contact with outside vendors.
• Performs special projects and other duties as assigned.

Requirements

What are the must-have qualifications for a candidate?

• Strong understanding of industry practices, standards, and claims concepts.
• Prior claims experience with a strong preference for commercial lines claims experience.
• Ability to multitask and solve problems.
• Proficient oral and written communication skills.
• Bachelor’s degree or equivalent experience in lieu of degree acceptable.

What will our ideal candidate have?

• Strong negotiation and relationship-building skills.
• Analytical with ability to exercise sound business judgment.
• Good time management skills.
• Customer service oriented.
• Proficient use of various core systems, office and computer equipment, and software packages.
• Strong coverage analysis skills.
• Exceptional writing skills.

Compensation overview

The targeted hiring range for this role is $82,000 - $100,000, annually. However, the base pay offered may vary depending on the job-related knowledge, skills, credentials, and experience of each candidate, as well as other factors such as the scope and location of the role. Candidates looking for compensation outside of the posted range are encouraged to apply and will be considered based on their individual qualifications and / or may be considered for other positions.

Culture and Total Rewards

Western National has long been known as “The Relationship Company” and caring for our employees is part of that relationship commitment. We value connectiveness, empowerment, and accountability, and we believe that our employees are our biggest asset.

Currently ranked as the 41st largest private company by revenue in Minnesota (Minneapolis/St. Paul Business Journal), Western National has earned accolades year-over-year as an employer of choice and garnered multiple awards for wellness in the workplace. Western National has also been named a Top Workplace by the Star Tribune for consecutive years. In addition, the Group is consistently recognized as a Ward’s 50 property-and-casualty insurance company for its outstanding financial results.

Western National offers full-time employees a significant Total Rewards Package, including:

• Medical insurance plan options and other standard employee benefits, including dental insurance, vision benefits, life insurance, disability insurance, and more!
• Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA)
• 401(k) Plan (participants are eligible for 100% matching on the first 6% of their contributions)
• Wellbeing Program, including onsite fitness studio
• Paid Time Off – including holiday, vacation, and volunteer
• 100% company-paid tuition reimbursement for approved job-relevant coursework and access to The Institutes (Risk and insurance education)
• Paid parental leave
• Bonus opportunities

Western National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs.

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

Western National provides employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.