Claims Specialist III

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $103k - $136k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 64 days.

Apply Now

Check your resume score

Customize resume + cover letter

Find Similar Remote Jobs

☆ Save☑️ Mark as applied❌ Hide

Report problem

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 and determine the nature of claims and required action • 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-complexity litigated casualty claims • Determine whether pre-defense-counsel resolution is appropriate on primary files • Vet and retain appropriate defense counsel when there is a duty to defend • Collaborate with defense counsel on case strategy, action plans, litigation plans, and budgets • Manage claim files and defense counsel to execute agreed plans and drive resolution • Document file activity and prepare reports according to claims best-practice guidelines • Evaluate damages and recommend reserves • Develop and execute negotiation strategies • Identify subrogation potential and risk-transfer opportunities • Draft tender letters and notify potential responsible parties • Vet, select, and retain experts when necessary • Manage expenses and review and negotiate fee statements • Notify insureds, agencies, and underwriting of key developments and exposure changes • Retain and manage outside coverage counsel on litigated coverage files • Vet coverage positions and escalate matters to in-house legal as needed • Assist outside counsel with file materials and discovery responses • Inform underwriting of increased hazards or unusual circumstances • Participate in claims committees and educational programs • Mentor Claim Specialists and provide technical training • Serve as SME for coverage analysis, risk transfer, AI and tenders, liability analysis, reserves, settlement evaluation, negotiation, and defense strategy • Share innovative ideas and collaborate with peers to improve work product and outcomes

🎯 Requirements

• Bachelor’s degree preferred • Law 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 • Extensive experience in litigated casualty claims • Superior analysis and negotiation skills • Effective and efficient litigation management skills • Ability to read, comprehend and interpret policy language, endorsements, and contracts • Ability to determine coverage, risk transfer, liability, and bodily injury/property damage evaluation for reserves and settlement • Strong negotiation, human relations, analytical, organizational, oral, and written communication skills • Ability to document information concisely in file notes and reports • Effective mediation and arbitration techniques • Aptitude for mentorship and leadership • Proactive management of defense counsel and expense management • Strong presentation skills and ability to present and articulate claims to committee • Ability to work independently with low supervision and high accountability • Ability to handle multiple tasks efficiently and effectively • 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 • Professional development opportunities

📊 Check your resume score for this job

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

Upload Resume