This is a Fully Remote Job
About Our Client:
The organization operates in the insurance industry, focusing on providing quality auto insurance products across multiple states including Alabama, Arizona, Arkansas, Colorado, Georgia, Indiana, Kentucky, Mississippi, Nevada, Ohio, South Carolina, Tennessee, Texas, and Virginia. Established in 1997, this program partners with a network of professional insurance agents to offer competitive rates and personal service, supported by knowledgeable customer service and 24/7 claims reporting. The company has earned an A (Excellent) rating from A.M.
Best Company.
About the Opportunity:
The CASUALTY SPECIALIST is responsible for investigating coverage, liability, and damages related to injury claims. This role focuses on evaluating medical documentation to appropriately settle or deny claims while managing reserves. The specialist ensures quality work, supports team members, and maintains up-to-date knowledge of state-specific legal and regulatory requirements.
The position plays a key role in preparing files for claim committee review, contributing to effective claims resolution and risk management.
Responsibilities:
Investigate coverage, liability, and damages for injury claims
Obtain and evaluate medical documentation to settle or deny claims
Set and regularly review claim reserves
Maintain quality work as measured by audits and management evaluations
Compare individual results by venue and support teammates as needed
Stay current on state venue knowledge and regulations
Present BI settlement requests over 10K to Claim Committee with thorough file documentation
Requirements:
College degree or equivalent work experience
Minimum of 2 years handling injury claims
Strong adjusting and negotiation skills
Excellent organizational and problem-solving abilities
Proficient oral and written communication skills
Knowledge of claims best practices, relevant tort laws, and state insurance regulations
General office skills including faxing, copying, filing, and typing proficiency
Pay Range and Compensation Package:
The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors.
Benefits & Perks:
Opportunity for annual performance bonus
Health, dental, supplemental cancer, vision insurance, and 401(k) plan
Paid Time Off Bank including 3 days PTO after first 80 hours worked for new hires
Short-term and long-term disability coverage
Flexible Healthcare and Childcare spending accounts for tax savings
Opportunities for advancement
Continuous training and career support
Flexible work from home options available
Equal Opportunity Statement:
Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin.
Note:
TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.