Claims Specialist-NJ / Northeast (Remote)

About Us

At Selective, we don't just insure uniquely, we employ uniqueness.

Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2024 and certification as a Great Place to Work in 2024 for the fifth consecutive year.

Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high-performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.

Overview

Selective Insurance is looking for a Claims Specialist to cover the New Jersey / Northeast region. This is a fully remote position.

The purpose of this position is to provide direct handling of the company's non- litigated and lower-level litigated Auto and / or general liability claims. These claims should not involve any major coverage issues. Position may also handle non-litigated UM / UIM claims. Responsibilities of this position include basic coverage analysis, investigation, evaluation, negotiation, and disposition of assigned claims. The individual in this position will also ensure claims are processed within company policies, procedures, and with the individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Responsibilities

• Investigate coverage and liability of claims through telephone, automated correspondence, and / or personal contact with claimants, attorneys, insureds, witnesses, and others having pertinent information. Issue applicable coverage letters.
• 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.
• Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
• Evaluate, negotiate, and resolve claims within delegated authority. Handle general liability and auto liability files from start to finish. Assign appropriate counsel if needed to defend a claim.
• Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine "chargeability".
• Receive and approve expenses incurred to investigate, process, and handle a claim.
• Close claim by issuing check or denial and securing appropriate releases. Prepare check requisitions for all loss and expense payments.
• Explore contribution on all claims assigned.
• Prepare for and participate in claims review and settlement conferences.
• Analyze information, including depositions, expert reports, attorney evaluations, and medical reports, gained from discovery during litigation 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.

Qualifications

Knowledge and Requirements

Education and Experience

Total Rewards

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 paid time off plans. Additional details about our total rewards package will be provided during the recruiting process.

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.

Pay Range

USD $72,000.00 - USD $109,000.00 / Yr.

Additional Information

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. We expect and encourage all employees and all of our business partners to embrace, practice, and monitor the attitudes, values, and goals of acceptance; address biases; and foster diversity of viewpoints and opinions.