Complex Casualty Claim Specialist

Job Summary:

We are looking for a Complex Casualty Claim Specialist, experienced in handling Homeowners casualty/bodily injury claims. This position is responsible for the accurate and timely resolution of litigated and non-litigated complex casualty/bodily injury claims within company guidelines and state regulations.

This is a remote position. Our customers are located in the Northeast so candidates must be able to work during normal EST business hours.

Salary Range: $90,000 - $125,000 per year

What you will do:

• Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
• Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
• Effective communication of reserve and reinsurance notices and reports.
• Communicate promptly and professionally with all parties when answering questions and gathering claim information.
• Adhere to company service standards and claims handling guidelines.
• Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
• Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
• ISO claim input and reporting.
• Resolve claims within designated authority level.
• Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
• Perform other duties as assigned by management and mentor less experienced staff.

What you will bring:

• A bachelor’s degree (required).
• 8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
• Continued insurance education and/or designations.
• Licensing, or the ability to become licensed, in all states in which Kingstone polices are written.
• Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
• A curious mindset, strong technical skills in claims, and a passion for the field.
• A thorough technical understanding of insurance coverage and claim procedures.
• A team player who demonstrates initiative and works effectively in a remote work environment.
• Detail-oriented with excellent organizational skills.
• Capacity to perform effectively in stressful situations.
• Ability to travel as may be required to attend meetings, trials, mediations, or other legal proceedings.

What we offer:

• Comprehensive health benefits
• Life and disability insurance
• 401(k) with company match
• Paid parental leave
• Paid vacation, paid holidays, and birthday off
• Peer recognition program

Please note that Kingstone does not accept unsolicited resumes from recruiters or employment agencies. In the event of a recruiter or agency submitting a resume or candidate without a signed agreement being in place, we explicitly reserve the right to pursue and hire such candidates without any financial obligation to the recruiter or agency. Any unsolicited resumes, including those submitted directly to hiring managers, are deemed to be the property of Kingstone.

Bachelor's degree, 8+ years handling complex casualty/bodily injury claims at an insurance carrier, ability to obtain state insurance licenses, knowledge of Medicare reporting and claims procedures.

Key Responsibilities

• investigating claims
• negotiating settlements
• managing litigation

Job Details

• Category: Legal and Compliance
• Seniority: Senior Level
• Commitment: Full Time
• Workplace: Remote — Kingston, New York, United States
• Salary: USD 90,000 – 125,000 / year
• Languages: English

Benefits

• 401k matching
• Generous paid time off
• Retirement plan
• Generous parental leave

About Kingstone Insurance Company

An insurance company providing casualty and property coverage and claims services. — Industry: Finance