Match score not available

Auto PD Claims Specialist - REMOTE (Northeast only)

Remote: 
Full Remote
Contract: 
Salary: 
67 - 96K yearly
Work from: 

Offer summary

Qualifications:

High School Diploma or Equivalent, Bachelor's degree preferred, 6+ years experience in auto PD claims, Active listening, effective communication skills, Strong time and project management skills.

Key responsabilities:

  • Develop strategies to increase department efficiency
  • Handle complex liability and coverage situations
  • Proactively resolve claims with prompt investigation
  • Demonstrate expertise in high-value losses, litigation management
  • Assess claim valuations accurately and timely
Preferred Mutual Insurance Company logo
Preferred Mutual Insurance Company https://www.preferredmutual.com/
201 - 500 Employees
See more Preferred Mutual Insurance Company offers

Job description

Please note, employment can only be offered to residents in the following states: Connecticut, Delaware, Massachusetts, Maryland, Maine, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont.

At Preferred, we understand the importance of holistic health. To meet the diverse needs of our employees, we offer a comprehensive set of benefits:

Financial

  • Short-term disability, long-term disability, and life insurance coverage are provided at no cost
  • Optional benefits include enhanced life insurance and critical illness plans
  • 401k plan with an employer contribution that you will receive regardless of your own contribution to the plan
  • Pension Plan
  • Certain positions may also be eligible for short-term incentive plans.

Social

  • Generous paid time off, offering of 25 days at hire (prorated based on start date for the first year)
  • 7 days of paid sick leave
  • 10 paid company holidays
  • Personalized paid time off after 3 years! 

Emotional

  • Access to Modern Health, a provider of accessible, personalized mental health care

Physical

  • Medical, dental, and vision coverage options begin on the first day of employment.
  • Flex Spending Accounts and Health Savings Accounts (with employer contribution) are available based on the medical plan you choose 

YOUR PURPOSE AND FUNCTION IN OUR COMPANY:

Alleviate the impact of adversity during challenging life events by the prompt investigation and resolution of claims.  Supports and contributes to the Claims Department and Company’s missions, visions, values, and goals.

KEY CAPABILITIES FOR SUCCESS:

  • Develops strategies for increasing the operational efficiencies of the department.
  • Routinely Handles Claims of the highest severity and complexity.
  • Actively identifies and pursues all avenues of contribution and recovery by third parties.
  • Displays the highest level of acumen regarding indemnity and loss expenses.
  • identifies opportunities to build relationships with new and existing internal/external business partners.
  • Resolves Claims proactively, creatively and fairly in a manner that is reflective of coverage, liability and damages.
  • Operates with an authorization level typically in excess of $75,000
  • Conducts thorough, accurate and timely investigation to determine liability and claim valuation.
  • Demonstrates a mastery of products and coverages offered by Preferred Mutual.
  • Evaluates files for the accurate and timely reserving of Claims with a high level emphasis on the Preferred Mutual reserving philosophy.
  • Demonstrates mastery of claim procedures and file administration for proper file documentation and claim reporting.
  • Meets and exceeds file quality standards as determined by internal and external audits.

FUNCTIONAL AREA RESPONSIBILITIES:

  • Handles complex liability, exposure, and coverage situations
  • Develops a niche expertise, including but not limited to high value loses, diminished value, environmental losses, los of income, minor bodily injury cash outs, or coverage expertise.
  • Demonstrates effective handling of claims with 50k or more exposure; independently and proactively draft reports and updates, and present reports and updates to management every 30 to 60 days without prompting
  • properly assess the need for attorneys and experts, effectively procure, direct and oversee attorneys and experts on litigated claims; manage expert and litigation expense
  • develop training material with managers and train others effectively and energetically; promotes continuing education for themselves and others; independently tracks licensing and continuing education requirement 

QUALIFICATIONS:

  • High School Diploma or Equivalent
  • Bachelor's degree preferred
  • 6 or more years of experience in auto PD claim handling and processing.
  • One professional designation required (i.e., AIC, CPCU, SCLA).
  • Additional professional designations, or equivalent industry coursework strongly preferred.
  • Exceptional active listening skills paired with effective oral and written communication skills.
  • Make timely, definitive, and fact driven decisions.
  • Strong time and project management skills that support continued process improvement.
  • Skilled at collaboration, group decision making, problem solving and negotiation. Pursues duties and interactions with integrity.
  • Proficient in technology platforms utilized by Preferred Mutual (including but not limited to Windows, Microsoft Office Suite, Outlook, and Internet-based applications).

ABOUT US:

As a mutual company, we are independent by nature, so we think about insurance solutions a little differently. Through listening, problem solving, examining your challenges, and collaborating on the right solutions for you, Preferred Mutual independent agents provide flexible solutions and adapt to your evolving needs. We are People First - committed to creating an environment that fosters the success and well-being of all our people; when our people thrive, our business and communities thrive. We have a flexible and high performing work environment offering opportunities for professional development, challenging careers, and competitive compensation. We also offer a dog in the workplace policy for our canine co-workers. With Preferred, there are no surprises. You can count on us to deliver on our promises and be there when you need us, as your insurance provider and your employer.  Preferred Mutual is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. 

DISCLAIMER:

This role (job) description indicates in general terms, the type and level of work performed as well as the typical responsibilities of employees in this classification. The duties described are not to be interpreted as being all-inclusive to any specific employee. Management reserves the rights to add, modify, change or rescind the work assignments of different positions and to make reasonable accommodations so that qualified employees can perform the essential functions of the job. Nothing in this position description changes the at-will employment relationship existing between Preferred Mutual Insurance Company and its employees.

The base pay range for this position is $67,000 to $96,000 paid on a salaried basis.  The rate offered to any candidate will be reflective of the candidate’s experience and any relevant education, certification, or qualifications related to their ability to perform the responsibilities of this position as permitted by law.

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Time Management
  • Negotiation
  • Problem Solving
  • Collaboration
  • Personal Integrity
  • Microsoft Office
  • Microsoft Windows
  • Microsoft Outlook

Insurance Claims Examiner Related jobs