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Claim Specialist in Richmond Region at The Main Street America Group

Date Posted: 3/28/2018

Job Snapshot

Job Description

Job Summary:  Staffed in an office where the type of claims is highly complex. Conducts claims investigations, determines coverage and liability, and negotiates (settle, authorize or deny payment) to conclusion the claim within authority limits.  Recognizes and investigates all cases involving subrogation, insurance fraud issues, and disposition of salvage.  Ensures timely financial transactions, including reserving and review and payment of vendor bills. Handles litigation cases and attends arbitrations and mediations on assigned files.
Role Education and Experience Requirements:
  • Bachelor's degree preferred; minimum of Associates degree or combination of secondary education (and/or other related certifications, such as AIC, CPCU, etc.) and comparable, progressive experience.
  • Possession of, or ability to attain, required licensing within 3-6 months.
  • Experience handling personal and commercial general liability injury, personal and commercial liability property damage claims and commercial and personal auto bodily injury claim .
  • Ability to read and interpret contracts and  commercial and personal insurance policies.
  • Minimum of 6 years claims experience in Property & Casualty Insurance with AIC (Associate in Claims) or alternative designation as approved by management.
  • Strong organizational skills and high attention to detail; ability to manage multiple priorities, work to deadlines, adapt to change in a fast-paced metric-focused environment; must be able to manage diary timely and complete tasks to ensure that cases move to the best financial outcome with timely resolution.
  • Excellent listening, verbal and written communication skills; must possess ability to communicate effectively across all levels of the company with internal and external customers, vendors, etc.
  • Strong conceptual, analytical and problem-solving ability; proven negotiation skills a must.
  • Ability to build and sustain positive and collaborative working relationships.
  • Proficiency and proven skill in use of computer programs and mainframe, including strong knowledge and utilization of Microsoft Office products (Outlook, PowerPoint, Excel, etc.) and claims systems such as ImageRight, Blue Zone, etc.

Due to the financial responsibilities of this position, all candidates will be subject to the credit check process

Contingency Recruiters: Please do not send resumes directly to any hiring manager within the MSA organization.  If you would like to discuss this position, please contact the Staffing Department directly and NOT our managers. You must have a signed and current search agreement with the MSA Staffing Department before any resumes can be reviewed. Any resumes sent directly to MSA without a contract and specific work order in place for the position will be considered property of MSA.  Thank you for your cooperation in this matter!


Competencies: Role Competencies:

Analytical Thinking/Decision Making - Knowledge of tools and techniques for effective use of a broad range of factors, assumptions, frameworks and perspectives when solving problems.

Business Acumen - Knowledge, insight, and understanding of business concepts, tools, and processes that are needed for making sound decisions in the context of the company's business.

Managing Multiple Priorities - Ability to manage multiple concurrent objectives, projects, groups, or activities, making effective judgments as to prioritizing and time allocation.

Relationship Building - Initiates, develops, maintains, and strengthens partnerships with others inside or outside the organization.

Drive for Results - Continuously focused on achieving/exceeding goals and objectives. Sets high standards of performance; pursues aggressive goals and works hard to achieve them.

Technical Competencies:

Negotiation and Settlement - Knowledge of principles, techniques and practices of negotiation and settlement of claims.

Claims Investigation - Knowledge of how to gather necessary information to determine damage, liability, subrogation and other case-specific issues.

Claims Knowledge - Knowledge of the full spectrum of activities, practices, tools, and considerations for managing the claims adjustment process.

Coverage Evaluation - Knowledge of how to locate policy information and interpret policy language as it applies to a specific claim.

Loss Assessment, Evaluation and Reserving - Knowledge of how to estimate the cost of a loss and to reserve that amount for eventual resolution.

Litigation Management - Knowledge of substantive and procedural law and ability to apply that knowledge to legal negotiation and formal litigation.

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