Claims Specialist-Auto & General Liability Remote

Job Overview

JWF Specialty is a division of EPIC. JWF is a best‑in‑class Third Party Administrator (TPA) and the TPA of choice for EPIC. They’re a successful and rapidly growing division with a strong reputation for innovation and customer satisfaction.

The Claims Specialist handles a caseload of approximately 130 auto and general liability claims for primarily public‑sector clients. The position requires establishing facts of loss, coverage analysis, investigation, liability/negligence determination, damage assessment, settlement negotiations, identifying potential fraud, and appropriate use of authorized vendors. The Claims Specialist must also complete timely and appropriate reserve analysis. All file handling must be within state statutes, client claims handling guidelines and JWF Best Practices.

• Preferred: Hybrid - Carmel IN (2 days a week in‑office)
• Also open to 100% remote candidates whose experience aligns strongly with the needs of the role. Remote candidates must live in Central or Eastern time zones.

• At least 5+ years of experience handling auto property and/or general liability claims. TPA and/or public sector claims experience is nice to have but not required.
• Professional communication skills – both written and verbal. Ideal candidates can pivot between detailed written communication and detailed verbal conversation.
• High attention to detail and ability to learn and adhere to instructions that vary client‑by‑client.
• Strong relationship‑building skills and ability to be flexible and build trust with clients.
• Positive and outgoing disposition, eager to work as a team but also functions well working independently.

• Coverage:
  • Identify, analyze, and confirm coverage.
• Customer Service / Contact:
  • Contact appropriate parties and providers to determine liability, compensability, negligence, and subrogation potential.
  • Obtain any needed information and explain coverage as appropriate. Continue contact throughout the life of the file.
  • Answer phones, check voicemail regularly and return calls within 24 business hours.
  • Assist management when required with projects as requested.
• Investigation:
  • Verify facts of loss and pertinent claims facts such as employment, wages, or damages and establish disability with treating physicians as appropriate.
  • Identify claims with no negligence to deny liability.
  • Identify cases for settlement, evaluate claims, and request authority and negotiate settlement.
  • Recognize and report potential fraud cases.
• Reserves:
  • Establish ultimate reserves as soon as practical and monitor to adjust at the time of any exposure‑changing event.
  • Verify all provider bills have been appropriately reviewed and paid within standard time frames.
• Reporting Requirements:
  • Pass all internal and external audits, which include those performed by regulatory agencies, carriers, and clients.
  • Follow reporting requests as outlined by client special handling instructions.
• Resolution:
  • Document plan of action in the claim system and set appropriate diaries.
  • Maintain a regular diary and follow up as required.
  • Close all files in a timely and complete manner.
  • Maintain a 1:1 closing ratio.
  • Other job duties as assigned.

• 5+ years auto property damage claim experience preferred.
• Excellent interpersonal, communication, organizational and presentation skills.
• Computer proficiency, working knowledge of Microsoft Office products.
• Advanced level of interpersonal skills to handle sensitive and confidential situations.
• Advanced ability to negotiate claims.
• Advanced ability to work independently.
• Advanced level of organization and time‑management skills.
• Advanced written and verbal communication skills.
• Ability to explain and appropriately respond to auditors, clients, and potential clients during in‑person presentations.
• Must pass all training courses within 12 months with a score of 80% or above.

• High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
• Must possess required jurisdictional licensing. (Or be willing, as a condition of employment, to obtain one within 30 days of start date).

The national average salary…