Claims Specialist III – Excess & Surplus

Job not on LinkedIn

🔥 5 minutes ago

🇺🇸 United States – Remote

💵 $103.2k - $136.1k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

UFG Insurance

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1946

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

UFG Insurance is a property and casualty insurance company that provides commercial insurance products and services, including inland marine, commercial property, commercial liability, workers' compensation, surety, excess & surplus, reinsurance and businessowners policies. It focuses on serving businesses—manufacturing, construction, real estate, architects and engineers, heavy equipment dealers and other small to mid-sized enterprises—through agents and brokers, emphasizing claims service, risk control consulting, premium audit and in-house service capabilities.

📋 Description

• Review new claims assignments to determine the nature of the claim and action required • Secure and review notice materials and complaints to determine UFG’s obligations • Draft coverage position letters when coverage issues are present • Investigate, evaluate, negotiate, and resolve high-severity, high-complexity casualty claims • Analyze coverage, liability, damages, and exposure • Establish and maintain appropriate reserves • Develop claim, resolution, and negotiation strategies • Select and manage defense counsel and experts • Direct litigation activities and monitor underlying claim handling • Collaborate with primary insurers, defense counsel, brokers, insureds, underwriting, agencies, and internal stakeholders • Document file activity and prepare claim reports • Identify subrogation potential, risk transfer opportunities, and exposures • Draft tender letters and place potential parties on notice • Notify insureds of key developments and demands • Review fee statements and negotiate adjustments under UFG billing guidelines • Investigate excess coverage, limits, and attachment points • Monitor underlying carriers and influence claim handling and resolution within their limits • Participate in educational programs and claims committees • Mentor other E & S Specialists and serve as subject matter expert • Support informed decision-making, mitigate risk, and achieve favorable claim outcomes while managing loss costs and expenses

🎯 Requirements

• Bachelor’s degree preferred • Meet the appropriate state licensing requirements to handle claims • CPCU, AIC, SCLA or Legal Principles, CCLA and PCLA of the AEI series preferred • 10+ years of casualty claims experience, preferably including excess experience • Knowledge of claims best practices • Knowledge of unfair claims practices/bad faith • Knowledge of various lines of policy coverages • Knowledge of trigger and allocation priority of coverage • Knowledge of number of occurrences • Knowledge of applicable laws, regulations and venue • Knowledge of fraud indicators • Knowledge of civil procedure • Knowledge of resolution strategies • Knowledge of contractual issues • Knowledge of UFG billing guidelines • Ability to read, comprehend and interpret policy language, endorsements, and contracts while applying them to the claim • Analytical ability to determine coverage, risk transfer, liability, and bodily injury/property damage evaluation for reserves and settlement • Strong negotiation, human relations, analytical, organization, oral and written communication skills • Ability to concisely document information into appropriate file notes and reports • Effective mediation and arbitration techniques • Aptitude for mentorship / leadership • Proactive management of defense counsel and expense management • Clear and concise communication • Analytical and critical thinking • Proactive decision-making and problem-solving • Proven effective negotiation approach • Time management and sense of service urgency • Polished presentation skills and ability to present and articulate claims to committee • Occasional overnight travel and weekend hours may be required

🏖️ Benefits

• Annual incentive compensation • Medical, dental, vision & life insurance • Accident, critical Illness & short-term disability insurance • Retirement plans with employer contributions • Generous time-off program • Programs designed to support the employee well-being and financial security • Company-sponsored educational programs and other educational opportunities • Occasional overnight travel and weekend hours may be required