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Complex Casualty Claim Specialist

Kingstone Insurance Company

Role overview

Qualifications

  • A bachelor’s degree
  • 8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier
  • Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications
  • Licensing, or the ability to become licensed, in all states in which Kingstone policies are written

Responsibilities

  • 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
  • Communicate promptly and professionally with all parties when answering questions and gathering claim information
  • Effectively manage and control litigation and claim expenses

Key facts

Hard skills

Other skills

  • Negotiation
  • Investigation
  • Communication
  • Detail Oriented
  • Organizational Skills
  • Teamwork
  • Time Management

About the company

Kingstone Insurance Company logo

Kingstone Insurance Company

Insurance

Kingstone Insurance Company is a New York State-based property and casualty insurer serving NY for over 138 years. At Kingstone, we believe that personal professional service is the proper way to provide the insurance professional and consumer with the right products at fair prices with best-in-class service. We offer multiple lines of property and casualty insurance only through our Select Producers. Kingstone Insurance Company is a wholly-owned subsidiary of Kingstone Companies, Inc., a public company (Nasdaq:KINS).

Company details

IndustryInsurance
Company size51 - 200

Links

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Job description

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.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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