Hastings Insurance is currently looking for a Complex Claim Specialist to join its Complex (Litigated) Claims Unit! The individual in this role investigates, evaluates, and resolves claims of severe complexity within the Company’s contractual and legal obligations while providing quality service and ensuring appropriate payments to our customers and claimants.
Position Location & Schedule Details
This position is flexible in its location! Candidates residing within the greater Hastings, Michigan, will be able to work a hybrid (combination of on-site and work-from-home) schedule as an alternative. Preference will also be given to candidates who reside within our five-state territory (Michigan, Indiana, Illinois, Wisconsin, or Illinois). Hastings may consider candidates in other states to work remotely if elements of their application are strong. Generally, this role will work within our standard office hours of Monday - Friday, 8:00 am - 4:30 pm.
Position Duties & Responsibilities
- Manages a personal caseload of claims, which may include litigation, to ensure the proper adjudication or settlement of those claims.
- Complies with all state and federal regulations, Core Values, and established processes and guidelines.
- Facilitates the claim process and resolves claims in a timely manner by initiating and maintaining positive and productive communication with all customers and claimants.
- Investigates, reviews/applies coverage/compensability, evaluates, and settles claims within the scope of the company’s contractual and legal obligations to ensure that settlements are fair and equitable to the insured, claimant, and the company.
- Minimal independent, outside coverage analysis is only as approved by the Manager or Director.
- Ensures salvage and subrogation opportunities are identified and pursued in order to minimize claim losses.
- Utilizes all appropriate loss and expense savings programs and directs the activities of outside vendors to ensure only necessary and cost-effective work is accomplished.
- Accurately and thoroughly document all claim files in the Claim system of record to substantiate the disposition of the claim.
- Establishes and maintains appropriate case reserves sufficient to fund the payment of the claim once resolved, whether through settlement, litigation, or arbitration.
- Identifies indicators of potential fraud and refers to the Special Investigations Unit.
- Interacts with insureds, agents, claimants, attorneys, and other service providers and experts, as necessary.
- Coordinates relevant claim information across departments such as Loss Control, Underwriting, and Marketing.
- Serves as a technical resource for other staff members with expertise in coverage issues, reserves, exposure, settlement value, and strategy when appropriate. May assist in departmental training.
- When requested, provides guidance and work delegation in the absence of the Claim Supervisor.
- Participates in special projects and committees.
- Secure and/or maintain appropriate state adjuster license(s) and continuing education credits, as necessary.
- Actively participates in professional development, i.e. continuing education or self-improvement.
- Other duties assigned by leadership, either verbally or in writing.
Candidate Requirements & Qualifications
- A Bachelor's degree, industry related designation, or be actively working towards a designation is preferred.
- Ten years of claim experience with increasing responsibility preferred. Minimum five years of claim experience required.
- Experience in commercial claim handling and working files in litigation preferred.
- Computer experience (MS Office, Excel, Word, etc.)
- Demonstrated excellent verbal and written communication ability.
- Ability to work effectively both independently as well as in a team.
- Demonstrated customer service skills.
- Demonstrated critical thinking skills and the ability to be decisive.
- Ability to negotiate skillfully in demanding situations and effectively manage conflict while maintaining relationships.
- Adapts easily to new or changing assignments, priorities, requirements, or situations.
- Demonstrated time management and organizational skills with the ability to prioritize and complete work and/or projects effectively.
About Us
At Hastings Insurance, our balanced corporate strategy focuses on implementing emerging technologies, cultivating strong independent agency relationships, and providing the right products to our policyholders.
We seek to strategically grow our product lines and continue to expand geographically while maintaining our financial stability and innovative nature.
Our talented employees are dedicated to providing excellent customer service to our agent partners and policyholders. Many of our employees have been identified as industry experts, and we value the knowledge and skill that they contribute to our success.
For more than 135 years, Hastings has helped our customers protect their valued assets and rebuild after devastating losses. We are proud to be rated an A (Excellent) insurance carrier by A.M. Best Company.
Our Commitment as an Employer
We value the strength of a diverse and inclusive workforce. Hastings Insurance is committed to providing equal opportunity for all employees and candidates in a work environment that does not tolerate discrimination or harassment. Decisions related to employment are based on business needs, position requirements, and individual characteristics without regard to appearance, nationality, origin, race, color, religion, gender, sexual orientation, age, body, disability, veteran, family, marital status, or any legally protected class.
Hastings Insurance seeks to provide reasonable accommodation to disabled individuals in the hiring process in compliance with federal, state, and local law. Candidates requiring accommodation to complete their job application or participate in the interviewing process are asked to notify the Talent Acquisition Specialist or contact us at 800-442-8277.
