Complex Claims Specialist - E&S/NY Labor Law; Remote
Branchville, Sussex County, New Jersey, 07826, USA
Listed on 2026-02-28
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Insurance
Insurance Claims, Insurance Analyst, Underwriter, Risk Manager/Analyst
Location: Branchville
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 2025 and certification as a Great Place to Work in 2025 for the sixth 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.
Selective Insurance is seeking an E&S Complex Claims Specialist to handle the company's most complex and challenging claims. This is a fully remote position.
Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation and disposition of assigned claims. Candidate must possess strong litigation management skills to aggressively manage litigation activities, budgets and claim outcomes while considering the overall impact to the customer and company. The individual in this position will also ensure claims are processed within company policies, procedures, and within individual's prescribed authority with exceptional standards of performance.
This individual should possess strategic though process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. In addition, position may require travel to mediations, arbitrations, settlement conferences, trials or other proceedings which may account for up to 20% of the specialist time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
- Effectively evaluate and resolve coverage issues for all lines of business and all liability claim types.
- Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
- Effectively and efficiently manage vendors and expenses.
- Timely 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.
- Effectively evaluate, negotiate and resolve claims within delegated authority (ranging from $100,000 to $400,000) utilizing the appropriate denials or releases.
- Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
- Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
- Ensure proper referrals and timely updates to appropriate Reinsurer(s).
- Must be able to drive an automobile to travel within territory. Car travel represents approximately 10-25% of employee's time and a valid driver's license.
- Experience in complex coverage analysis and significant large loss evaluations.
- Experience with E&S claim preferred but not required.
- Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills.
- Excellent presentation skills and moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
- Sufficient keyboarding proficiency to enter data accurately and efficiently.
- Multi-State licensing with strong understanding of Medicare reporting & compliance preferred.
- Must have valid state-issued driver's license in good standing and be able to drive an automobile.
- College degree preferred.
- 8+ Casualty…
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