Complex Auto Claims Specialist - Remote

Overview

Selective Insurance is seeking a Complex Claims Specialist, which is a fully remote position.

The purpose of this position is to provide direct handling of the company's most complex and challenging Auto claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance.

This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, this position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 20% of the specialist's time.

All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

• Effectively evaluate, analyze, articulate and resolve coverage issues for all auto-related lines of business and all liability claim types.
• Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information. Experience managing complex loss investigations including evidence preservation involving large commercial vehicles.
• Effectively and efficiently manage vendors and expenses.
• Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
• Effectively evaluate, negotiate and resolve claims within delegated authority (commonly exceeding $500,000) utilizing the appropriate settlement agreements.
• Provide required written reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
• Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
• Ensure proper referrals and timely updates to appropriate Reinsurer(s).
• Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee's time and a valid driver's license.

• Experience in complex coverage analysis and significant large loss evaluations;
• Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills;
• Excellent presentation skills;
• Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint.
• Sufficient keyboarding proficiency to enter data accurately and efficiently
• Multi-State licensing with strong understanding of Medicare reporting & compliance preferred.
• Must have valid state-issued driver's license in good standing and be able to drive an automobile.

• College degree preferred.
• 8+ Casualty claims handling experience.
• Minimum of 5 years handling cases of a complex nature with a primary P&C carrier.

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off.

Additional details about our total rewards package can be found by visiting our benefits page.

The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.

USD $ - USD $ /Yr.

Selective is an Equal Employment Opportunity employer. That means we respect and value every individual's unique opinions, beliefs, abilities, and perspectives. We are committed to promoting a welcoming culture that celebrates diverse talent, individual identity, different points of view and experiences - and empowers employees to contribute new ideas that support our continued and growing success. Building a highly engaged team is one of our core strategic imperatives, which we believe is enhanced by diversity, equity, and inclusion.

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