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Claims Specialist- Financial Lines

Ohio Farmers Insurance Company

Berkeley Heights, NJFull-time$15.92/hrPosted 1mo agoSeen in employer's feed 6 days ago

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At a glance

Compensation
$15.92/hr
Location
Berkeley Heights, NJ
Schedule
Full-time
Work Authorization
Not specified

Requirements

Credentials this posting asks for.

Insurance Adjuster LicensesBachelor's degree

Job overview

Ohio Farmers Insurance Company is hiring a Claims Specialist- Financial Lines. The Claims Specialist will directly handle and manage financial lines plastic card fraud and theft claims, as well as employment practices liability claims. This role involves investigating, evaluating, and resolving claims in accordance with best practices, providing excellent customer service, and collaborating with internal and external partners. The specialist will also review policies, prepare reports for management, and participate in mediations and settlement conferences.

Key focus areas include Directly handle, manage and/or oversee financial lines plastic card fraud and theft claims and employment practices liability claims, Handle claims in accordance with Claim Handling Best Practices in all phases of the claim, and Provide top-notch customer service through all interactions and communications.

Successful candidates bring 1-3 Years Insurance Experience, Bachelor's Degree, and Insurance Adjuster License. Important skills include Plastic Card Fraud And Theft Claims, Employment Practices Liability Claims, Claim Handling Best Practices, Customer Service, Policy Review And Evaluation, and Coverage-Related Matters Resolution.

Skills & qualifications

RequiredNice to have

Skills

Plastic Card Fraud and Theft ClaimsEmployment Practices Liability ClaimsClaim Handling Best PracticesCustomer ServicePolicy Review and EvaluationCoverage-Related Matters ResolutionWritten ReportsPresent Claims to ManagementStatutory Regulations AdherenceUnfair Claims Practices Acts AdherenceCommunicate Claim DevelopmentsExposure AnalysesRequests for AuthorityMediationsSettlement ConferencesReview and Analyze Claim TrendsDevelop Policy LanguageManage Outside VendorsManage BudgetsOversee LitigationPlastic Card ExperienceEPL ExperienceCommunicationInterpersonal CommunicationAnalytic SkillsInvestigative SkillsListening SkillsNegotiation SkillsMulti-TaskingPrioritizing WorkCollaborationAttention to DetailWorking in a Fast-Paced EnvironmentWorking With Limited SupervisionWindowsOutlookExcelCollaboratesCommunicates EffectivelyCustomer FocusDecision QualityNimble LearningClaims InvestigationsClaims AdjustmentClaims ResolutionClaims SettlementFinancial ControlsClaims Case ManagementCRM

Qualifications

1-3 Years ExperienceBachelor DegreeInsurance Adjuster LicensesAbility and Willingness to TravelJuris Doctor Degree From Accredited Law School

Full job description

Experience Required

1 - 3 years

Minimum Education Required

Bachelor Degree

Compensation

$15.92 / Hourly

Hours Per Week

40

Number Of Positions

1

Shift

First Shift (Day)

Job Description

Duties and Responsibilities:

Directly handle, manage and/or oversee financial lines plastic card fraud and theft claims; and employment practices liability claims.

Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims.

Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners.

Review and evaluation of policies to determine coverage.

Resolve coverage-related matters working collaboratively with outside counsel when necessary.

Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed.

Adhere to all statutory regulations and Unfair Claims Practices Acts.

Consistently communicate claim developments, exposure analyses and requests for authority to claims management.

Participate in mediations, settlement conferences and otherwise see claims through to resolution.

Work closely with underwriting and other business partners to review, analyze, and communicate claim trends and help develop policy language.

Along with underwriting, attend current and prospective meetings with insureds and brokers.

Work with and manage outside vendors, including outside attorneys to manage budgets and oversee litigation.

Qualifications:

Minimum of 1 to 3 years of experience at either a specialty insurance carrier and/or law firm.

Plastic card and EPL experience. Financial institutions E&O and D&O a plus.

Bachelor's degree required.

Juris Doctor degree from an accredited law school a plus.

Candidates will be required to obtain and maintain insurance adjuster licenses.

Excellent written communication skills.

Excellent verbal and interpersonal communication skills, resulting in the ability to interact with all levels of management and employee population.

Strong analytic, investigative, listening and negotiation skills.

Experience multi-tasking, prioritizing work and working effectively in a team environment, while maintaining attention to detail.

Experience working in a fast-paced environment, completing work with limited supervision.

Experience with Microsoft Windows, Outlook, and Excel or transferable software packages.

Ability and willingness to travel as needed.

Behavioral Competencies

Collaborates

Communicates Effectively

Customer Focus

Decision Quality

Nimble Learning

Technical Skills

Claims Investigations

Claims Adjustment

Claims Resolution

Claims Settlement

Financial Controls

Claims Case Management

Customer Relationship Management

This job description describes the general nature and level of work performed in this role. It is not intended to be an exhaustive list of all duties, skills, responsibilities, knowledge, etc. These may be subject to change and additional functions may be assigned as needed by management.

#WSP

Westfield celebrates diversity and is committed to inclusion. All qualified applicants receive consideration for employment without regard to race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, or status as a protected veteran.

Place of Work

On-site

Requisition ID

11728

Job Type

Full Time

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