Senior Claim Representative I - CA
WFA Digital Insight
As the demand for skilled claim representatives continues to rise, with a 25% increase in job postings over the last year, professionals with expertise in handling complex claims are in high demand. The current remote job market offers a unique opportunity for claim specialists to work with leading companies like name, leveraging their digital skills to manage high-touch customers and drive business growth. With the insurance industry expected to grow 10% by 2028, this role offers a chance to be part of a dynamic field. Before applying, candidates should be aware of the need for strong communication skills, attention to detail, and the ability to work independently.
Job Description
About the Role
The Senior Claim Representative I role at name is a technical expert position that requires handling complex claims with litigation, catastrophic, and coverage elements. As a leader in the claim handler career path, this role involves working with minimal supervision to manage unique cases with little precedence. The successful candidate will serve as a department leader, developing other employees and potentially acting as an acting manager in the absence of department management.Day-to-day responsibilities will include managing high-touch customers, negotiating settlements with attorneys or injured parties, and exercising independent judgment to settle cases prior to mediation or litigation. The role also involves establishing timely and appropriate reserves based on claim profiles and anticipated financial exposure. Collaboration with customers, agents, and brokers is essential to resolve complex claim issues.
What You Will Do
- Handle claims with litigation, complex/catastrophic, and/or coverage elements
- Manage high-touch customers and negotiate settlements with attorneys or injured parties
- Exercise independent judgment to settle cases prior to mediation or litigation
- Establish timely and appropriate reserves based on claim profiles and anticipated financial exposure
- Collaborate with customers, agents, and brokers to resolve complex claim issues
- Develop and mentor team members to enhance their skills and knowledge
- Act as a department leader, potentially serving as an acting manager in the absence of department management
- Manage outside vendors to ensure cost containment efforts
- Stay abreast of changes in relevant statutes and case law
- Participate in agent/client relationship management
What We Are Looking For
- Bachelor’s degree in a related field or a relevant combination of education and experience
- Seven years of progressively more responsible experience in a claims environment
- Experience handling claims in multiple jurisdictions is preferred
- Bilingual skills are preferred
- Certification or progress toward certification is highly preferred and encouraged
- Ability to negotiate, build consensus, and resolve conflict
- Effective oral and written communication skills
- Ability to manage multiple priorities and meet established deadlines
- Attention to detail and analytical skills
Nice to Have
- Concentration in commercial trucking
- Experience with claims in multiple jurisdictions
- Bilingual skills
- Previous experience in a leadership or management role
- Familiarity with company standard software specific to the position
Benefits and Perks
- Competitive salary range
- Opportunities for professional growth and development
- Collaborative and dynamic work environment
- Flexible remote work arrangements
- Access to cutting-edge technology and tools
- Comprehensive benefits package, including health insurance and retirement plans
- Generous paid time off and holidays
- Employee recognition and reward programs
How to Stand Out
- Develop a strong understanding of claims handling principles and practices to stand out in the application process
- Showcase your ability to work independently and manage multiple priorities effectively
- Highlight your excellent communication and negotiation skills, as these are essential for success in this role
- Be prepared to discuss your experience with complex claim handling and how you have resolved challenging cases in the past
- Consider obtaining relevant certifications, such as those offered by the National Association of Insurance Commissioners, to demonstrate your expertise and commitment to the field
- Research the company culture and values to ensure alignment with your own professional goals and values
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