Casualty Claims Representative

Casualty Claim Professional

Recent internal promotions have created exciting opportunities for Casualty Claim professionals to join our team.

Responsibilities include :

• Investigate, evaluate and resolve commercial casualty claims in accordance with company standards, procedures, and state regulatory requirements.
• Analyze and interpret commercial policy language in conjunction with specific facts of loss to reach appropriate coverage decisions, and effectively communicate the company's coverage position verbally and in writing.
• Compose a variety of other written communications to insureds, claimants, attorneys and agents in a professional and error-free manner.
• Conduct detailed, comprehensive claim investigations including on-site scene examinations and in-person witness interviews; attend mediations, depositions and trials, both virtually and in-person.
• Evaluate and document damages to ensure accurate and timely reserves; immediately escalate to management cases with significant exposure.
• Negotiate effectively and in good faith to achieve fair and accurate claim settlements.
• Proactively manage litigated claim files from inception to closure, including collaboration with defense counsel to determine and execute an appropriate plan of action; bring litigated cases to resolution either by negotiated settlement or trial, as appropriate.
• Retain experts and vendors to achieve appropriate claim outcomes while remaining mindful of loss adjustment expenses.
• Manage assigned workloads effectively to achieve quality and quantity production goals while providing superior customer service.
• Effectively present cases in roundtable discussions with peers and members of management at all levels.
• Appropriately and clearly document all notes and file activity in a paperless claim system; compose detailed periodic reports including claim summary reports and large loss notifications.
• Communicate with other departments regarding developments on specific claim files as well as overall claim trends relevant to Acadia's business.
• Maintain a strong relationship and frequent communication with Acadia's agency partners.
• Serve as a mentor and technical resource for trainees and less-experienced claim professionals.
• Work proficiently with various computer programs including MS Word, Excel, and other applications used in the claim handling process.
• Attend internal and external seminars and other training events and provide feedback to peers and / or members of management.
• Obtain all required state adjuster licenses and maintain them as needed by complying with continuing education requirements.
• Pursuit of industry-related professional designations is encouraged.
• Perform other duties as assigned.

Qualifications :

The company is an equal employment opportunity employer.

Additional company details :

Sponsorship not offered for this role.