Associate Claims Specialist-CH

Investigates new claims by reviewing first reports of loss and supporting materials, determines the best first point of contact (claimants, customers, witnesses, etc.) to gather information regarding injuries or loss refers tasks to auxiliary units as necessary and posts file accordingly. Establishes action plans based on case facts, best practices, protocols, jurisdictional issues and available resources. Manages an inventory of property/casualty claims (e.g., workers' compensation, general liability, commercial automobile, property), evaluates compensability/liability and losses, and negotiates settlements within prescribed limits. Establishes accurate loss cost estimates using available resources, special service instructions, and market protocols. Confirms or denies coverage based on facts obtained during the investigation and advises policyholders as to proper course of action. Makes effective use of loss management techniques (Direct Dealing Immediate Contact Plan ICP L9 checks Disability Management open end release first call settlements) and other resources. Updates files and provides comprehensive reports as required Effective interpersonal, written and verbal communication skills to: provide information in a clear, concise manner with an appropriate level of detail, empathy and professionalism; an ability to build and maintain effective relationships with all walks of people; and effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent Good negotiation skills Required to obtain and maintain all applicable licenses Knowledge of legal liability, insurance coverage and medical terminology helpful but not mandatory