Complex Casualty Claim Specialist

Job Summary:

We are looking for a Complex Claim Specialist, experienced in handling homeowners, dwelling fire, and a small book of commercial claims, to join our Liability Claims division.

The Complex Claim Specialist will be responsible for handling the company’s most complex liability and coverage claims within company guidelines and standards. Responsibilities include the ability to analyze coverage and contractual matters, investigate and evaluate serious injury and/or property damage claims for proper claim adjudication.

This is a remote position. Our customers are located in the Northeast, so a candidate living in the Northeast is preferred but not required.

What you will do:

• Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
• Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
• Effective communication of reserve and reinsurance notices and reports.
• Communicate promptly and professionally with all parties when answering questions and gathering claim information.
• Adhere to company service standards and claims handling guidelines.
• Effectively manage and control litigation and claim expenses (Budgets, Experts and claim strategies).
• Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
• ISO claim input and reporting.
• Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
• Resolve claims within designated authority level.
• Prepare reports to be submitted to management for additional authority or coverage issues and present large claims to management with supporting documentation.
• Present cases and participate in their discussion at weekly claim unit meetings.
• Perform other duties as assigned by management and mentor less experienced staff.

What you will bring:

• Four-year college degree required.
• 15+ years’ experience managing and handling managing and handling Commercial General Liability, Homeowners and Dwelling Fire claims at an insurance carrier or Third-Party Administrator.
• Must be licensed in all states in which Kingstone polices are written (preferred).
• Continued insurance education and/or designations.
• A thorough technical understanding of insurance coverage and claim procedures.
• A strong team player with initiative and ability to effectively multi-task.
• Must communicate professionally with excellent verbal and written skills.
• Computer skills with working knowledge of company software programs.
• Detail-oriented with excellent organizational skills.
• Some travel may be required to attend meetings, trials, mediations, or other legal proceedings.
• Valid driver’s license (preferred).
• Good negotiation and settlement skills.

What we offer:

• Health benefits
• Life and disability insurance
• 401(k) with company match
• Paid parental leave
• Paid vacation, paid holidays, and birthday off
• Flexible work schedule
• Peer recognition program

Kingstone is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, gender identity, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws.

Visit www.kingstoneinsurance.com/Careers

We thank all applicants; however, only those selected for an interview will be contacted.

Please note that Kingstone does not accept unsolicited resumes from recruiters or employment agencies. In the event of a recruiter or agency submitting a resume or candidate without a signed agreement being in place, we explicitly reserve the right to pursue and hire such candidates without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted directly to hiring managers, are deemed to be the property of Kingstone.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Work setting:

• Remote

People with a criminal record are encouraged to apply

Application Question(s):

• Are you authorized to work in the United States?
• Do you have 15+ years of experience managing and handling managing and handling Commercial General Liability, Homeowners and Dwelling Fire claims at an insurance carrier or Third-Party Administrator?

Work Location: Remote