Senior Claims Specialist- Financial Lines

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    "ExternalDescriptionStr": "<p><strong>Job Summary</strong></p><p>The Claims Specialist works on highly complex claim assignments requiring specialized knowledge. The role handles activities including, but not limited to, coverage analysis, liability and damage investigation, litigation, and expense management. The role also evaluates claims for reserve and settlement, executes settlement strategy, negotiates settlements proactively, attends arbitrations and ensures appropriate file documentation.</p><p>&nbsp;</p><p><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt; line-height: 115%;\"><strong>Duties and Responsibilities:</strong></span></span></p><ul style=\"list-style-type: disc; padding-left: 32px;\"><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt; letter-spacing: 0pt;\">Directly handle, manage and/or oversee&nbsp;</span><span style=\"font-size: 10.5pt;\">financial lines fidelity and crime claims, and financial institution E&amp;O and D&amp;O claims.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Review and evaluation of policies to determine coverage.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Resolve coverage-related matters working collaboratively with outside counsel when necessary.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Adhere to all statutory regulations and Unfair Claims Practices Acts.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Consistently communicate claim developments, exposure analyses and requests for authority to claims management.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Participate in mediations, settlement conferences and otherwise see claims through to resolution.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Along with underwriting, attend current and prospective meetings with insureds and brokers.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation.</span></span></p></li></ul><p style=\"background-color: white;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt; line-height: 115%;\"><strong>Qualifications:</strong></span></span></p><ul style=\"list-style-type: disc; padding-left: 32px;\"><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Minimum of 3 to 6 years of experience at either a specialty insurance carrier and/or law firm.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Significant fidelity, crime, and financial institutions E&amp;O and D&amp;O experience&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Bachelor’s degree and&nbsp;Juris Doctor from an accredited law school required.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Candidates will be required to obtain and maintain insurance adjuster licenses.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Excellent written communication skills.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Strong analytic, investigative, listening and negotiation skills.&nbsp;</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Experience working in a fast-paced environment, completing work with limited supervision.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.</span></span></p></li><li><p style=\"background-color: white; line-height: normal;\"><span style=\"color: black; font-family: &quot;Segoe UI&quot;, sans-serif;\"><span style=\"font-size: 10.5pt;\">Ability and willingness to travel as needed.</span></span></p></li></ul><p>&nbsp;</p><p><strong>Behavioral Competencies</strong></p><ul><li>Collaborates</li><li>Communicates Effectively</li><li>Customer Focus</li><li>Decision Quality</li><li>Nimble Learning</li></ul><p>&nbsp;</p><p><strong>Technical Skills</strong></p><ul><li>Claims Investigations</li><li>Claims Adjustment</li><li>Claims Resolution</li><li>Claims Settlement</li><li>Financial Controls</li><li>Claims Case Management</li><li>Customer Relationship Management</li></ul><p>&nbsp;</p><p><i><strong>This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.</strong></i></p><p><i><strong>#WSP</strong></i></p>",
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