Senior Third-Party Claims Specialist (Hybrid)

Fleet Response; Hudson (OH); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Fleet Response is seeking a Sr. Third Party Claims Representative in Hudson, OH to independently manage complex third-party claims from report through resolution.

You will investigate, evaluate coverage and damages, negotiate settlements, oversee repairs and total losses, and ensure compliant, timely claim handling while guiding junior team members. The role requires strong communication, licensing readiness, and a proven ability to manage a high-volume caseload with accuracy and cost-conscious

Qualifications

• Associate degree or equivalent from a two-year college or technical school.
• Previous experience handling insurance claims or related claims management responsibilities.
• Ability to independently investigate claims, evaluate liability and damages, and make sound claim-handling decisions.
• Ability to obtain and maintain insurance adjuster licensing as required in applicable states.
• Strong written and verbal communication skills.
• Ability to manage a high-volume caseload while maintaining accuracy and meeting established deadlines.

Responsibilities

• Review and send First Notice of Loss (FNOL) notifications in accordance with client requirements.
• Manage a high-volume caseload of complex and high-exposure third-party claims from initial reporting through closure.
• Complete claims-related administrative activities, including preparing correspondence, gathering and uploading documentation, coordinating towing services, and managing shared inbox responsibilities.
• Contact claimants, clients, witnesses, repair facilities, attorneys, and other involved parties to obtain information necessary for claim investigation and resolution.
• Review claims and applicable client parameters to verify coverage.
• Conduct thorough claim investigations, including interviewing involved parties and reviewing police reports, statements, photographs, estimates, and supporting documentation.
• Evaluate liability and determine appropriate claim-handling strategies based on investigative findings.
• Identify potential indicators of fraudulent activity and escalate suspicious claims for additional investigation when appropriate.
• Evaluate claims with a focus on accurate, timely, and cost-effective resolution.
• Assess damages involving vehicle repairs, property damage, total losses, rental expenses, towing, loss of use, diminished value, lost wages, and other applicable expenses.
• Coordinate rental vehicle needs, including verifying applicable parameters, explaining rental terms, initiating rentals, and authorizing extensions within established guidelines.
• Review supplemental repair requests and authorize additional repair costs within established authority and client guidelines.
• Evaluate liability and damages to determine appropriate settlement amounts and negotiate resolutions with claimants, attorneys, clients, and other involved parties.
• Establish and maintain appropriate financial reserves based on anticipated claim exposure.
• Process accurate and timely payments for vehicle repairs, total loss settlements, and other approved claim expenses.
• Maintain complete and accurate claim files, including detailed documentation of correspondence, investigative findings, decisions, payments, and claim activity.
• Maintain professional and timely communication with claimants, clients, attorneys, vendors, peers, and leadership throughout the claims process.
• Ensure claims are handled in accordance with applicable federal and state laws, fair claims practices, client requirements, and company procedures.
• Obtain and maintain required insurance adjuster licensing.
• Manage workload effectively while meeting established productivity, quality, service, and performance expectations.
• Ensure required claim activities and documentation are completed before finalizing and closing claims.
• Provide guidance, mentoring, and training to other Third Party Claims team members as assigned.
• Apply coaching and performance feedback to support continued professional development.
• Perform other duties and special projects as assigned.

Job description

Fleet Response is seeking a Sr. Third Party Claims Representative in Hudson, OH to independently manage complex third-party claims from report through resolution.

You will investigate, evaluate coverage and damages, negotiate settlements, oversee repairs and total losses, and ensure compliant, timely claim handling while guiding junior team members. The role requires strong communication, licensing readiness, and a proven ability to manage a high-volume caseload with accuracy and cost-conscious