Senior Claims Specialist: Coverage & Settlements

Jobtailor; Richfield Township (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

Jobtailor in Ohio is seeking a seasoned claims professional to manage an inventory of property and casualty claims, evaluate compensability and liability, and plan investigations to determine coverage and damages.

You will authorize settlements within your authority, maintain detailed files, and communicate complex coverage information to insureds and external partners, including preparing for arbitrations, mediations, or trials.

Qualifications

• Bachelor’s degree in Business Administration, Risk Management and Insurance, Finance, or related field.
• Generally, a minimum of 5 years of experience in property and casualty claims handling.
• Completion of or continuing progress toward a professional designation preferred.
• Strong analytical, negotiation, and problem-solving skills.
• Knowledge of insurance policies, coverage, and claims handling procedures.
• Ability to organize and prioritize caseloads.
• Excellent interpersonal and communication skills.
• Proven ability to handle confidential information with discretion.

Responsibilities

• Manages an inventory of claims to evaluate compensability/liability.
• Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages.
• Determines and negotiates appropriate claim settlements/reserves within prescribed authority.
• May attend arbitrations, mediations, depositions, or trials.
• Conveys moderately complex information regarding coverage and settlements to insureds, claimants, and external partners.
• Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner.
• Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements.
• Core competencies: demonstrates expertise in claims management, including evaluating compensability and liability, negotiating settlements, and maintaining detailed claim files.

Skills

Negotiation

Analytical thinking

Problem-solving

Communication

Discretion/Confidentiality

Education

Bachelor's degree in Business / Risk Management / Insurance

Equivalent experience

Job description

Jobtailor in Ohio is seeking a seasoned claims professional to manage an inventory of property and casualty claims, evaluate compensability and liability, and plan investigations to determine coverage and damages.

You will authorize settlements within your authority, maintain detailed files, and communicate complex coverage information to insureds and external partners, including preparing for arbitrations, mediations, or trials.