What are the responsibilities and job description for the Casualty Claim Specialist position at Opportunities?
Position Overview
Position Location & Work Format
Position Duties & Responsibilities
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Responsible for the review, investigation, and settlement of assigned open and closed claims to ensure they are handled according to Company policies and procedures, resulting in an equitable resolution within the Company’s contractual and legal liability.
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Uses Hastings claims/estimating system (Guidewire ClaimCenter) and other approved technology to perform job duties.
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Facilitates the casualty claim process and resolves in a timely manner by initiating and maintaining positive and productive communications with all policyholders.
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Appropriately reviews and applies coverage for all claims, and provides assistance to others in the claim department regarding coverage issues, reserves, exposure, settlement value, and strategy when appropriate.
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Ensures that salvage and subrogation opportunities are identified and pursued in order to minimize claim losses and improve company results.
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Utilizes all appropriate loss and expense savings programs and directs the activities of outside vendors to ensure that only necessary and cost-effective work is accomplished.
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Documents all claim files accurately and thoroughly to substantiate the disposition of the claim and minimize the possibility of erroneous payments. Properly utilize and document all files in the claim system of record.
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Establishes and maintains appropriate case reserves in an amount sufficient to fund the payment of the claim once it is resolved, whether through settlement, litigation or arbitration as soon as it can be practically done.
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Identifies potential fraud and refers to the appropriate authority. Interaction and contact will occur with surveillance companies, independent adjusters, and special investigators.
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Coordinates relevant claim information with Loss Control, Underwriting, Marketing, etc., to maximize the company’s effectiveness in avoiding future losses and to better manage the current business.
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May also participate in special projects, committees, or assignments from the supervisor or manager and serve as a technical resource for other adjusters. The incumbent may assist in departmental training.
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Investigates construction accidents, serious or certain other losses, particularly where litigation or significant injuries occur.
Candidate Requirements & Qualifications
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Bachelor’s degree preferred. May consider formal insurance education and equivalent claim work experience.
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At least ten years of increasing experience, with at least five in complex casualty/commercial claims required.
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A minimum of three years working with files in litigation.
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Professional designations: Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU) or be actively working towards a designation.
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Excellent demonstrated verbal and written communication ability with experience presenting and facilitating training.
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Demonstrated ability to prioritize multiple duties and embody a results-focused orientation.
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Demonstrated ability to provide excellent customer service to agents, policyholders, and internal/external stakeholders.
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High level of self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
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Ability to exemplify Hastings Mutual behavior standards and comply with all ethical guidelines.
About Us
At Hastings Insurance, our balanced corporate strategy focuses on implementing emerging technologies, cultivating strong independent agency relationships, and providing the right products to our policyholders.
We seek to strategically grow our product lines and continue to expand geographically while maintaining our financial stability and innovative nature.
Our talented employees are dedicated to providing excellent customer service to our agent partners and policyholders. Many of our employees have been identified as industry experts, and we value the knowledge and skill that they contribute to our success.
For more than 135 years, Hastings has helped our customers protect their valued assets and rebuild after devastating losses. We are proud to be rated an A (Excellent) insurance carrier by A.M. Best Company.