Senior Casualty Claims Specialist

Acadia Insurance (a Berkley Company); Vermont; On-site; USD 110,000 - 120,000; Full time

Job summary

Acadia Insurance (a Berkley Company) seeks an experienced claims professional to investigate, evaluate and resolve high exposure commercial liability claims in a timely and thorough manner. You will negotiate with insureds and third parties, monitor external vendors, and work with underwriting to interpret policy language and loss control to improve loss ratios.

The role requires 7–10 years of commercial liability claims experience, strong organizational and communication skills, and an ability

Qualifications

• 7-10 years of commercial liability claims experience.
• Excellent organizational skills and workload prioritization.
• Strong negotiation and claims resolution abilities.
• Proficient computer skills and multi-system work.
• Independent management of complex workload with sound judgment.
• Excellent written and verbal communication skills.
• Preferred: advanced insurance coursework (AIC, CPCU) or related classes.

Responsibilities

• Investigate, evaluate and resolve assigned high exposure claims per standards and state requirements.
• Assess coverage, liability and damages, ensuring accurate decisions for claim resolutions.
• Negotiate with insureds and third parties to resolve claims fairly.
• Control expenses by monitoring use of outside vendors.
• Inform other departments of findings impacting results.
• Manage workloads to meet quality and quantity goals while delivering customer service.
• Participate in account reviews and advise on loss ratio improvements.
• Handle the most complex cases with coverage and liability questions.
• Work with underwriting on policy language and with loss control on loss sensitive accounts.
• Mentor less experienced staff and participate in training.

Skills

Claims handling

Negotiation

Relationship management

Multi-tasking

Judgment & decision making

Education

Bachelor's degree

Job description

Company Details

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast. As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us. Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.

At Acadia, we value our employees, our customers and our communities. Employees at Acadia are part of a progressive company where everyone can make a difference. We promote an inclusive environment which encourages continuous learning and the chance to grow and develop.

Company URL: https://www.acadiainsurance.com/

Responsibilities

• Investigate, evaluate and resolve assigned high exposure claims in accordance with company standards, procedures, and state regulatory requirements.
• Perform investigations in a timely and thorough manner to ensure accurate decisions on coverage, liability, and damage issues affecting claim resolutions.
• Effectively negotiate with insureds and third parties, listening carefully to their demands and using an objective approach to resolve the claim fairly.
• Control file-related expenses through efficient utilization and monitoring of "outside" vendors.
• Inform other departments of positive/negative conditions noted during investigations which may impact company results.
• Manage existing workloads effectively to achieve quality and quantity production goals while providing superior customer service.
• Participate in special account reviews and present agents and insureds with recommendations for improving their loss ratio and information on best practices.
• Under general direction, handles the most complex cases and those involving the most complex questions of coverage, compensability, legal liability and damages.
• Handles most complex bodily injury, property damage and workers’ compensations cases utilizing experts and outside firms as required.
• Works closely with underwriting in developing and interpreting policy language and, in conjunction with loss control, assists in the analysis and recommendations on loss sensitive and special accounts.
• May serve as team leader or mentor in the training and development of less experienced staff and provides input in roundtable discussions.
• Attends settlement conferences, depositions, trials and mediations on a regular basis.

Education

Bachelor's degree

Qualifications

• 7-10 years of commercial liability claims
• Excellent organizational skills, ability to handle multiple tasks and effectively prioritize workload
• Demonstrated depth in negotiation and claims resolution skills.
• Strong computer skills and ability to work with multi-faceted systems.
• Ability to effectively and independently manage complex workload while exhibiting very sound judgment.
• Excellent written and verbal communication skills.
• Demonstrated ability to develop and maintain relationships with agents and other departments while exemplifying superior teamwork.
• Advanced professional insurance coursework (i.e., AIC, CPCU) or completion of other insurance-related classes is preferred.
• Valid driver’s license required.

The Company Is An Equal Employment Opportunity Employer.

Additional Company Details

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

The company offers a competitive compensation plan and robust benefits package for full time regular employees including:

• Base Salary Range: 110k-$120k
• Eligible to participate in annual discretionary bonus
• Benefits include: Health, dental, vision, dental, life, disability, wellness, paid time off, 401(k) and profit-sharing plans

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.