Senior Casualty Claims Representative

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🔥 3 hours ago

🏄 California, Nevada – Remote

🏄 California – Remote 🎰 Nevada – Remote

💵 $36 - $50 / hour

⏰ Full Time

🟠 Senior

📋 Claims Specialist

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Pacific Specialty Insurance Company

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1989

🛡️ Insurance

Insurance

Pacific Specialty Insurance Company is a property and powersports-focused insurance provider that has served millions of customers across the U. S. for over 20 years. It offers personal lines coverage including homeowners, renters, condo/townhome, manufactured home, umbrella, and a range of recreational vehicle and watercraft policies (motorcycle, ATV/off-road, travel trailer, motorhome, personal watercraft, pleasure boats). Pacific Specialty emphasizes claims support and customer service — including 24/7 claims assistance and practical response services like temporary housing coordination and local storm response — and holds an "A" (Excellent) rating from A. M. Best.

📋 Description

• Investigate & Resolve Claims (90%): Utilizing your understanding of and expertise in concepts of coverage, policy interpretation, exposure recognition, damage analysis and liability determination to analyze and move claims towards resolution using best practices. • Understanding and correct application of different laws and requirements for claims handling in multiple states. • Ability to analyze variables, such as medical records, bill and legal documentation. • Proven negotiation and settlement skills. • Investigate all aspects of claims. • Create/adjust case Reserves according to Company Policy. • Pay and process claims within designated Authority level. • Manages pending Inventory of open claims. • Primary point of contact for Policyholders throughout claims process. • Maintain organization and documentation of claims files (hardcopy and electronic). • Heavy phone communication with Customers. • Interaction with Vendors, experts, and other carriers. • Detailed analysis of records, photos, damage reports and policies. • Completing written correspondence to individuals and businesses daily. • Litigation File/Management on occasion. (5%) • Attend meetings and help with work environment initiatives (5%)

🎯 Requirements

• College Bachelor’s degree or equivalent preferred. • Bilingual, especially Spanish is helpful, but not required. • 7+ years’ experience handling California auto liability claims. • Friendly, positive, and professional demeanor. • Proficient written and verbal communication skills. • Comfortable working in a fast-paced environment with limited management oversight. • Highly skilled planning and organization skills required. • Prior moderate complexity bodily injury and property damage insurance claims experience required. • Prior customer service work experience required. • Strong investigative and analytical skills. • Excellent organization and time management skills. • Ability to make timely and accurate decisions. • Strong negotiation skills. • Strong policy interpretation skills.

🏖️ Benefits

• Health insurance • Dental insurance • Vision insurance • Life insurance • Disability insurance • Retirement plans • Paid time off