Senior Claims Specialist

Company Farm Family Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description Business Title(s):
Senior Claims Specialist

Employment Type:

Full-Time FLSA Status:
Exempt

Location:

In Office:
Any employee, in any Clearbrook office, can apply for this opportunity and stay in their current location.

Summary:

We are looking for a highly capable Senior Claims Specialist to join our team and work from our Omaha office. Alternatively, this position can be filled to work from our Albany office. We work together in the office five days a week in order to strengthen our culture, build team connections, and drive profitability. The position reports to a manager based in Albany and is responsible for the investigation, evaluation, negotiation, and settlement of commercial auto claims, primarily in the Northeastern United States.

This includes assessing coverage, contacting the customers, investigating the facts surrounding the loss, arranging inspection, experts, and third parties; collecting information and evaluating complexity of loss of claims when needed; negotiating loss settlements either directly with our customers or through their assigned counsel and finalizing settlement. Specialists are required to understand and comply with Insurance Regulations, Statutes, and case law accordingly.

The Specialists work closely with other departments, vendors, and defense counsel as needed throughout the claim process. Depending on the level of complexity, claim values can range from a nominal amount to tens of thousands of dollars. Our Senior Claims Specialists contribute to providing superb results for our clients. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

• Under technical supervision and working within significant limits and authority, adjudicate serious commercial auto bodily injury claims of higher complexity, including first and third‑party losses, according to applicable state mandates, with a direct impact on the overall achievement of results for the team.
• Providing laser‑focused customer service to our clients by providing superior claims outcomes and developing meaningful and long‑lasting connections with our insured and brokers.
• Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
• Investigating claims promptly and thoroughly, including interviewing all involved parties in order to determine the facts of the loss.
• Managing diary timely and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
• Creating and reviewing reserves in line with market and Farm Family's reserving policy.
• Determining the appropriate method of inspection or review of facts.
• Identifying, assigning, and coordinating the assignment and coordination of expertise resources to assist in case resolution.
• Evaluates claims for bodily injury, review medical reports‑records and bills.
• Calculates past/future medical expenses, past and future wage loss where applicable.
• Analyzes the value of Bodily Injury Claims for compensation, considering both past and future values of compensation.
• Confirms and/or performs permanency ratings according to AMA guidelines to assess exposure and value of the claim.
• Ensuring compliance with state regulations and requirements.
• Settles straightforward claims in line with authority limits and adheres to organizational referral procedures.
• Negotiates in a timely and effective manner to provide cost effective solutions for the company and its customers within own limits using a range of negotiation styles.
• Preparing reports for file documentation.
• Reporting to claims management and…