Claims Specialist

Proactively investigate, evaluate, and negotiate resolution of assigned Liability claims in accordance with established best practices and assure claims are handled within granted autonomy limits. The adjuster will primarily manage claims valued under $500k, including claims that are in litigation.

Major Responsibilities

• Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file.
• Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing, and analyzing reports and related bills.
• Evaluate and determine appropriate reserving levels in compliance with claim guidelines
• Select and direct independent external service providers (e.g., Lawyers, Independent Adjusters, Experts)
• Identifies and addresses subrogation/contribution/SIU opportunities.
• Negotiate and resolve non-complex claims ensuring cost effective, service orientated solutions
• Ensure all claims handled within authority limits, and in line with Claim’s procedures and guidelines
• Refer cases outside of authority level, preparing referral documentation and materials as appropriate
• Support establishment of claims management procedures
• Claims Processing & Administration

Minimum Education or Certifications Required

• Bachelors’ degree with a minimum of 7 years of overall experience in the insurance industry or equivalent.
• Equivalent is defined as a high school diploma and 8 years of experience.
• Extensive experience working with auto and general liability, garage, and transportation claims
• Experience handling litigated files and direction of defense counsel.
• Excellent negotiation skills.
• Licensure as required by respective state(s).
• CPCU, AIC, SCLA or other insurance related studies are beneficial.
• Excellent oral and written communication skills.
• Ability to organize, multi-task and prioritize work.
• Excellent customer service and interpersonal skills.

Disclaimer
Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. This job description reflects management’s assignment of essential functions, it does not prescribe or restrict the tasks that may be assigned.

First for a reason:

At First Student, we are a family of 60,000+ employees who take pride in safely transporting more than 5 million students and passengers to and from their destinations each day! Our family of brands include Transco, Total Transportation, Maggies Paratransit, and GVC II. Our employees are at the forefront of safety and innovation; they create and implement the most advanced training and technology the transportation industry has to offer.

In the state of Washington, all technician and driving positions, including but not limited to van drivers and any other position requiring employees to drive a company-owned vehicle, are considered safety-sensitive and are therefore subject to drug and alcohol testing, including cannabis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. First is also committed to providing a drug-free workplace. First will consider for employment qualified applicants with criminal histories consistent with the requirements of the San Francisco Fair Chance Ordinance, Los Angeles Fair Chance Ordinance, and any other fair chance law. Philadelphia’s Fair Criminal Record Screening Standards Ordinance Poster is at this link or upon request https://www.phila.gov/media/20210423160847/Fair-Chance-Hiring-law-poster.pdf.