- Make appropriate coverage determinations, reserve and resolve claims within prescribed authority levels, handle status updates with agents and members, all with a focus on timeliness.
- Resolve claims and respond to inquiries involving members, agents, vendors (independent adjusters/appraisers, salvage rental car agencies), defense and plaintiff attorneys.
- Process transactions in claim and policy administration system, input claim data for reporting.
- Manage vendor resources, activities, budgets, and expenses.
- Review reporting results with underwriting and senior management.
- Contribute as subject matter expert facilitating internal training of colleagues on topics of special interest or need in consultation with manager and Claims Department Leadership.
- Support both internal and external business partners as casualty Subject Matter Expert in dealing with cross functional teams (UW, Sales, RM) and agency partners regarding technical/functional business requirements and business development.
- 8+ years' of direct Property and Casualty Insurance experience.
- 5+ years' experience in handling both Auto & General Liability litigated files, complex first and third party bodily injury and complex coverage claims.
- Proven ability to handle complex first and third party Auto and GL bodily injury and coverage claims including, but not limited to, exposures of $250K plus.
- Experience handling litigated files as well as files that involve arbitration and mediation, including in person attendance at legal proceedings as required.
- Experience within the high net worth industry a plus.
- Working knowledge of excel, word, and email applications.
- A Bachelor's degree is preferred.
- Demonstrated commitment to continuous learning and professional development including completion of one or more advanced educational or industry designations such as JD, MBA, CPCU, AIC, or CCLA.
- Excellent interpersonal, listening, written, and oral communication skills.
- Highly detailed and organized, capable of prioritizing multiple tasks and assuring consistently high levels of accuracy.
- Demonstrate integrity, exhibit team spirit and enthusiasm, and establish trust and credibility.
- Agile learner who can quickly absorb information and apply it to current business situations.
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Senior Claims Analyst - Scottsdale, United States - PURE Insurance
Description
About the role.The Senior Claim Analyst is a key member of the Claims team reporting to the Casualty Manager and sitting out of our Scottsdale, AZ PURE office on a hybrid schedule, although we are open to remote candidates as well. The primary goal of this position is to deliver flawless service to our members and independent agency partners. This person will handle first and third-party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance.
What you'll do.
Claims handling:
Technical Experience:
#LI-Hybrid
