Claims Serv Specialist IV - Commercial Lines

Posted 3 Days Ago
Be an Early Applicant
Quincy, MA
Mid level
Insurance
The Role
The Claims Service Specialist IV investigates and resolves complex commercial claims including material damage, WC, PIP, and BI claims. Responsibilities include contacting insureds, evaluating coverage and damages, negotiating settlements, managing litigation, and mentoring new hires.
Summary Generated by Built In

Under minimal supervision, investigate and resolve first and third party material damage, WC, PIP and BI claims which may involve coverage, liability, damage and legal issues.
• Effort may concentrate around large exposure, Commercial Auto, Homeowner liability, and/or Commercial Property claims among other market/line combinations.
• Provide guidance and direction to legal counsel during the litigation process in order to ensure favorable resolution.
• Act as a mentor to new employees to facilitate the on-boarding process.
• Prior Commercial Auto Bodily Injury experience preferred

Key Responsibilities

  • Timely completion of all case activities, maximizing customer service and minimizing net loss payout.

  • Contacts all insureds, claimants and witnesses that may have information relating to the loss, either in person, by telephone or in writing. This may include visiting the accident location to examine, photograph and diagram physical facts and conduct neighborhood canvasses.

  • Inputs and retrieves information using the automated claims system, requests checks, form letters and other correspondence through the automated claim system.

  • Evaluates case facts determining coverage, liability and reserves, and reports on settlement; maintains a reminder system.

  • Evaluates case facts confirming coverage and appropriate damages.

  • Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal and medical billings and investigates for proper charges and pays accordingly.

  • Negotiates settlements with individuals, attorneys, and other insurance carriers within their granted settlement authority level.

  • Pursues subrogation and may arrange for salvage to obtain the maximum recovery.

  • Prepares detailed scope of damages on property losses and brings to resolution.

  • Assists, when requested, in the selection and evaluation of experts as needed.

  • Manages litigation, checking to ensure that coverages are not exceeded, that legal expenses are adequate, and confers with attorney about case direction and disposition.

  • Will participate in special projects or training programs.

  • Successfully completes all required training and applies.

  • Will assist in the training of Claims Service Specialists III and below.

  • Will keep management informed of activities and issues within assigned area of responsibility.

  • Performs other related duties as required or requested.

Requirements

  • Prior Commercial Auto Bodily Injury experience highly preferred
  • Strong customer service, communication and collaborations skills
  • Strong organizational skills with attention to detail.
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The Company
HQ: Quincy, MA
927 Employees
On-site Workplace
Year Founded: 1988

What We Do

Founded in 1988 in Quincy, Massachusetts, Arbella provides affordable car, home, and business insurance in Massachusetts and Connecticut, and business insurance in New Hampshire and Rhode Island. Our vision is to be the best property and casualty company in the Northeast. Period. We are proud to be consistently recognized as one of the Best Places to Work by the Boston Business Journal. We think you’ll find Arbella to be a different kind of insurance company – one that does good for our employees, our customers, our independent agents, and our communities. Our people are caring, collaborative, passionate, and involved, and we work hard to support their total well-being.

Arbella is a good place to be. Come explore what it can be for you.

Arbella. Here. For Good.

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