Claims Resolution Specialist, Auto Casualty

Senior Claims Resolution Specialist

Discover a fulfilling role where you'll investigate, evaluate, and settle casualty claims, focusing on auto casualty claims. You'll apply your expertise in claims handling and negotiation within established guidelines, ensuring efficient resolution and client satisfaction. Ideal candidates bring prior experience in auto casualty claims resolution. Join us and make an impact in a supportive and dynamic environment!

We are open to hiring candidates who reside in Ohio, Indiana, Kentucky, West Virginia, or Pennsylvania for ease of travel to our corporate office in Columbus, Ohio for occasional in-office meetings.

The posted compensation range includes both the Senior Claims Resolution Specialist and Claims Resolution Specialist job profiles. We may hire at either level depending on candidate qualifications.

Investigate, evaluate, negotiate and settle casualty claims and any related coverages within established best practices and applicable jurisdictional guidelines.

Investigate, evaluate, settle and process claims primarily on the phone with limited in-person contact.

Handle claims including injury and third party property damage claims primarily under personal and commercial auto and garage, uninsured and underinsured motorists, homeowners liability and commercial liability coverages. Claims will generally range from low to moderate severity and may involve disability, wage loss and hospital treatment.

Handle automobile physical damage claims in conjunction with material damage appraisers.

Provide limited handling for personal lines lawsuits as requested.

Comply with the claims organization's policies, established best practices and jurisdictional guidelines.

Comply with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, negotiation and settlement of claims.

Comply with all state Fair Claims Practices acts and obtain state licensing as required.

Maintain competency in the use of multiple claims systems and manage efficient and effective follow-up practices.

Effectively investigate and close a minimum average of 55 losses per month.

Maintain an ongoing understanding of claims processes, procedures and systems, and keep current on fair claims practices laws, compliance issues, and business-related developments.

Make limited outside contacts at the discretion of the casualty team lead.

Perform other duties as assigned.

The candidate must have previous experience as a Claims Resolution Specialist or its equivalent in the industry.

Due to the complexity of the work performed and the frequency of customer contact, experience in successfully working with customers is strongly desirable.

Experience may be achieved in part or in full through the following : Sales experience, public service experience (e.g., police, social work) and / or other professional-level business experience.

Continuing education during the first two years of employment is preferred and may be obtained through the following : In-house claims training classes, The Institutes (Associate in Claims (AIC) and / or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.

This position requires excellent knowledge of all company personal lines, commercial auto and commercial garage policies and coverages.

The individual must understand tort law, be familiar with medical terms and treatments, and be able to effectively negotiate settlements.

Must have the ability to analyze uncomplicated auto damage repair estimates, and understand and negotiate total loss evaluations.

Demonstrate the skills and abilities listed in the Claims Resolution Specialist job description.

A college degree and the ability to read, write and speak fluent Spanish are strongly desired.

Ready to join our team? At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities. Join us to discover a work experience where your diverse ideas will be met with enthusiasm where you can learn and grow to your fullest potential.

What you can expect from us Join our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to : a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations. Encova Insurance is an EOE / E-Verify employer.