Claims Specialist

Company Details

Company Description

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability.  We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

Responsibilities

Job Description: Overall Position Summary/Purpose

The Claims Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of medium exposure and complexity.  This individual will work under limited supervision, with a remote manager. 

Key Functions/Duties of Position: Describe the overall job responsibilities

• Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval
• Investigate and evaluate liability
• Investigate and evaluate damages
• Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
• Establish timely reserves within authority and re-evaluate throughout the life of the claim
• Maintain up-to-date, appropriate file documentation and written file notes
• Maintain an active diary and productive file inventory
• Timely completion of all required large loss reporting
• Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
• Proactively control the work product and expense of outside vendors
• Develop and maintain positive customer relationships and provide superior customer service
• Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation
• Ability to Work with designated assigned accounts
• Recognize and investigate fraud
• Comply with deductible/self-insured retention recovery protocol
• Meet and maintain all State licensing requirements at all times (see qualifications below)
• Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
• All other duties as assigned

Qualifications

Education Requirement:

• Four (4) year College Degree, or commensurate experience and training
• AIC, SCLA, CRIS or other similar industry designations preferred 

Qualifications:  

• 3-5 or more years claims handling experience or equivalent experience.
• In-depth knowledge of the insurance industry, including legal and regulatory environments.
• A strong functional and developing knowledge of substantive laws and legal procedures.
• Applicable adjusters license(s) to include: CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY

Sponsorship Details