General Liability Claims Specialist - HYBRID REMOTE!
Job Description
General Liability Claims Specialist / Sr. Specialist needed for Risk Management Group handling self-insured claims. Located in Folsom, California! HYBRID REMOTE!
This is not an examiner role. Specialists are overseeing TPAs and member claims.
The General Liability Specialist/Senior Specialist is responsible for managing a caseload of excess general liability claims, consisting of complex and catastrophic claims along with providing oversight of TPAs and claims processes in both excess liability programs; reviewing and overseeing claims for appropriate claim strategy, reserves, reimbursement, reinsurance and resolution.
• HOURS: 8 am – 4:30 pm
• DURATION: Temporary position – Approximately 3 – 4 months.
• WORKPLACE: After two weeks of training in office, the Claims Specialist will then be able to work remotely and only come to the office as needed (for occasional meetings, etc.) which will most likely be only once a month or so.
• PAY: $40.00 - $50.00 per hour
-----Specialist role, $40.00 - $42.00 per hour DOE
-----Sr. Specialist role, $48.00 - $50.00 per hour DOE
• BENEFITS: Weekly payroll, direct deposit, online time entry, sick leave pay, and upon meeting eligibility: holiday pay, vacation pay and 401K Retirement Plan.
The responsibilities below will be performed at both the Specialist & Sr. Specialist level, but the complexity of the work will differ:
Requirements
Qualifications - Specialist Level
Qualifications - Sr. Specialist Level
This is not an examiner role. Specialists are overseeing TPAs and member claims.
The General Liability Specialist/Senior Specialist is responsible for managing a caseload of excess general liability claims, consisting of complex and catastrophic claims along with providing oversight of TPAs and claims processes in both excess liability programs; reviewing and overseeing claims for appropriate claim strategy, reserves, reimbursement, reinsurance and resolution.
• HOURS: 8 am – 4:30 pm
• DURATION: Temporary position – Approximately 3 – 4 months.
• WORKPLACE: After two weeks of training in office, the Claims Specialist will then be able to work remotely and only come to the office as needed (for occasional meetings, etc.) which will most likely be only once a month or so.
• PAY: $40.00 - $50.00 per hour
-----Specialist role, $40.00 - $42.00 per hour DOE
-----Sr. Specialist role, $48.00 - $50.00 per hour DOE
• BENEFITS: Weekly payroll, direct deposit, online time entry, sick leave pay, and upon meeting eligibility: holiday pay, vacation pay and 401K Retirement Plan.
The responsibilities below will be performed at both the Specialist & Sr. Specialist level, but the complexity of the work will differ:
- Review all new losses assigned.
- Provide timely response to members and reinsurers within established goals.
- Effectively maintain current diary including file document updates, correspondence, and evaluation of strategies towards resolution or trial on a 150 - 200 pending claims caseload.
- Evaluate liability and damages for less complex public entity excess files with supervisor oversight.
- Effectively manage litigation in partnership with member entities.
- Monitor and evaluate case strategy, litigation management, reserves and case status to ensure compliance with applicable Addendum B Standards as well as Defense Counsel Standards.
- Work with members, TPAs and defense counsel to evaluate case strategy, damages, and future action needed with an eye towards settlement or trial.
- Analyze coverage for lesser complex exposures and generate coverage related correspondence with supervisor oversight.
- Engage coverage counsel for complex coverage issues as needed.
- Ensure losses have been reported to reinsurers/excess carriers and update reinsurers/excess carriers on cases involving their layer.
- Complete case analysis and closed session write ups as well as present claims to the appropriate Committee(s) for settlement authority, direction and/or coverage determination.
- Effectively maintain files in Proprietary Claims System, including strict compliance with documentation standards relating to exposure analysis, action plans, data compliance, reserves, reinsurer acknowledgements and status and other correspondence.
- Generate requisite reports for diary and litigation calendar.
- Contact member agencies, TPAs, defense counsel or reinsurers/excess carriers concerning claims status and information.
- Review and approve reimbursements and reinsurer invoicing for assigned claims.
- Create and maintain positive, collaborative relationships with members, committees, staff, reinsurers, and defense counsels.
- Actively participate in committee meetings as necessary.
- Attend mediations/MSCs as needed.
- Communicate regularly with Claims Supervisor and Liability Manager regarding claims activity and needed assistance.
- A moderate amount of travel will be required.
- Perform other duties as assigned.
Requirements
Qualifications - Specialist Level
- Minimum of 2 years of experience of increasingly responsible work experience in General Liability claims adjusting, reporting, management and settlement work; or an equivalent combination of education and experience sufficient to successfully perform the essential function of the job.
- Associate’s or Bachelor’s degree in Business Administration, Risk Management, Public Administration, or a related field. (An equivalent combination of education and relevant experience may be considered)
- Public Entity claims experience preferred.
- Coursework or certification in Liability Claims, Risk Management, or a related area is desirable.
- Strong interpersonal and customer service skills; ability to interact professionally with members, TPAs, and other stakeholders.
- High level of integrity, professionalism, customer service, attention to detail, and critical thinking.
- Experience working with public agencies or joint powers authorities is a plus.
Qualifications - Sr. Specialist Level
- Minimum of 5 years of direct work experience in General Liability claims adjusting, reporting, management and settlement work of complex, litigated, catastrophic claims. Or five years of increasingly responsible work in a directly related field, with at least three of those years working in public entity complex or excess casualty environment evaluating complex claims.
- Bachelor’s degree in Business Administration, Risk Management, Public Administration, or a related field. (An equivalent combination of education and relevant experience may be considered)
- Public Entity claims experience preferred.
- Coursework or certification in Liability Claims, Risk Management, or a related area is desirable.
- Strong analytical and interpersonal and customer service skills; ability to interact professionally with members, TPAs, and other stakeholders.
- High degree of professionalism, customer service orientation, and ability to maintain cool in challenging and complex situations.
- High level of integrity, professionalism, customer service, attention to detail, and critical thinking.
- Proven ability to mentor, train, and guide junior-level staff or peers.
- Experience working with public agencies or joint powers authorities is a plus.
- Regular and consistent attendance as defined per Company policy.
- Work is performed in a typical interior/office work environment.
- Ability to use computer keyboard and sit in a stationary position for extended periods as well as the use of office equipment such as fax and copy machines, and telephones.
- May be required to stand for extended periods of time.
- Must possess effective communication and listening skills such that complicated information can be communicated in a straight forward manner that the listener can understand, as well as paraphrasing and questioning to gain a complete understanding of the speakers concerns and goals.
- Ability to prioritize, multi-task, set goals and meet deadlines.
- Must be a team player that possesses strong customer service and problem solving skills.
- Must have a professional demeanor, be detail oriented, organized, highly ethical and have a positive attitude.
Meet Your Recruiter
Sharlene Theakston
Director of Recruiting
Sharlene has been with SDI Staffing since 1998. She is most passionate about recruiting, helping candidates find a successful career in insurance, and assisting clients with finding the top talent they are seeking. Currently, Sharlene works as the Director of Recruiting / Sr. Account Manager. She evaluates applicants on their skills, education, work history, personality and salary requirements. She also works with clients to assist them in their search for applicants that have the experience and skills they are seeking for their office. Sharlene is also a mentor and assists the team with training and answering any questions about staffing or office procedures. She is an active member of Professional Women in Insurance, California Staffing Professionals and the American Staffing Association. She is trained in CA Employment and Sexual Harassment Law (FMLA, Meal & Rest Periods, Exempt & Non-Exempt Employees, etc.).
Sharlene was born and raised in San Diego, CA. She enjoys traveling as well as spending time with her husband, their two Labs, family and friends.
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