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Sr. Claims Specialist- Complex Claims

Glenmont, NY

American National is seeking a highly skilled and motivated Complex Claims Specialist to join our team. The ideal candidate will have a strong background in adjusting liability claims, analyzing coverage, evaluating injuries and negotiating settlements. 

In this role, you will be responsible for managing and resolving complex commercial/agricultural property and injury liability claims. You will conduct detailed assessments of claims to determine coverage, liability, damages, and appropriate settlements. Effective communication with claimants, policyholders, legal professionals, and medical providers will be essential to gather necessary information and documentation. Maintaining accurate and detailed claim files, documenting all activities and decisions, is a critical part of your responsibilities. You will also provide exceptional customer service, addressing any questions or concerns promptly and professionally. Collaboration with internal departments will be necessary to ensure timely and efficient processing of claims. Staying current with industry trends, regulations, and best practices related to casualty claims is important for your success in this role. Additionally, you will participate in training and professional development opportunities to enhance your skills and knowledge, as well as maintain an active adjusters' license.

Responsibilities

  • Investigate, evaluate, and settle casualty claims in accordance with company policies and procedures.
  • Analyze coverage and prepare coverage disclaimers, partial disclaimers, and Reservation of Rights letters
  • Conduct detailed assessments of claims to determine liability, damages, and appropriate settlements.
  • Communicate with claimants, policyholders, legal professionals, and medical providers to gather necessary information and documentation.
  • Maintain accurate and thorough claim files, documenting all activities and decisions.
  • Provide exceptional customer service, addressing any questions or concerns promptly and professionally.
  • Collaborate with internal departments to ensure timely and efficient processing of claims.
  • Mentor and provide guidance to junior claims specialists.
  • Stay current with industry trends, regulations, and best practices related to casualty claims.
  • Participate in training and professional development opportunities to enhance skills and knowledge, as well as maintain an active adjusters' license.

Requirements

  • Five years' or more of bodily injury claims handling experience
  • Established injury evaluation and negotiation skills
  • Understanding of statutes, case laws, and policy contracts
  • Currently hold an appropriate state adjuster's license or willingness to obtain following date of hire (American National will incur fees associated / No out of pocket expenses)
  • Excellent written and verbal communication skills, as well as a high attention to detail and follow-up

Nice-to-haves

  • Experience handling high severity and complex bodily injury and property damage claims, including those triggering excess umbrella coverage
  • Experience handling liability claims in venues throughout the United States.  
  • Professional certification (ex. CPCU, AIC) is a plus

The base salary range provided below is for hires in those geographic areas only and will be commensurate with candidate experience. Pay ranges for candidates in other locations may differ based on the cost of labor in that location. 

$58,600-$81,300

 

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