Farm Ranch Insurance Jobs in Chicago, IL (NOW HIRING)

Summary:

TheComplex Claim Specialistis responsible forthe investigation, evaluation, negotiation, and settlement of complex and high exposure claims. This includes assessing coverage; contacting the insureds, claimants, and witnesses; engaging experts when needed to fully investigate the facts of the loss and to arrive at a proper conclusion in assessing liability and damages.The Complex Claim Specialist isultimately responsiblefor liability andcoveragedecisions, damageassessmentsand the negotiation of a claim to conclusion. Handling UM/UIM exposures and reviewing litigation strategy and actions of defense counsel for claims involving Arbitration. Provide the insured with the promise of the policy and excellent customer service.

This is a 100%in-office position. Candidates must be able to work on-site at a designated company office during standard business hours.

Essential Responsibilities:

• Completion ofan initialreview and analysis of the policy coverage todetermineif coverage is applicable. Address any excess policies that maybe applicableto the loss.

• Completion of the claim investigation, and/or review of theinitialinvestigation on reassigned files to property assess and evaluate the liability exposure and to ensure proper reserving for a given exposurein accordance withthe company's reserving philosophy. Secure recorded statements from all parties; document file activity in a concise and comprehensive manner.

• Handling claims that have the greatest complexity and severity, with the highest exposure to the company and to the insured, which may include excess umbrella policies.

• Completion of claim evaluations with settlement authority recommendations and present those recommendations to upper management.

• Negotiation of claims to a proper resolution within the authority extended.Attend mediations if as and when required.
  

Additional Responsibilities:

• Handling all fatality and pedestrian losses.

• Proactively move files toward a proper resolution.

• Establish andmaintainan appropriate diaryon all files.

• Consult with defense counsel or medical experts if needed.

• Applies cost containmentmethodology, whenappropriate,claim review for medical necessity and reasonable and customary charges. Utilizing third party bill reviews when applicable.

• Report to Underwriting when information is developed requiring a risk analysis of the policy.

• Communicate with agents, providing updates,inquiriesand alerts.

• Process claims according to applicable state mandates/statutes; investigate,reviewand stay current on applicable case law.

• Demonstrates responsibility in making liability assessments for first- and third-party losses,sendrequired forms and state compliance documents/letters.

• Obtainappropriate releases, court approved settlements for minors, or estate claims, structured settlements.

• Attend pre-suit mediations.

• Handle demands for Arbitrations and discovery associated with those claims.

• Ensure compliance with state regulations and requirements.

• Considers alternative dispute resolutions,utilizingcreative resolutions whenappropriate, to reach an effective resolution of a dispute.

• Makes daily decisions todeterminetheappropriate courseof action for the file, considering the exposure of the insured, the company, cost, and risk factors.

Qualifications / Experience Required:

• Bachelor's degree.

• Six to eight years of experience.

• Supervisory/management experiencenotapplicable.

• Completion of theappropriate insurancedesignation.

• TrainingonMedical Terminology.

• Maintain continuing education (CE) requirements for state licensing.

• Documented history of successfully handling complex, high exposure claims.

• Documentedproficiencyin written and verbal communication.
  

Preferred Qualifications:

• Insurancedesignations, AIC, SCLA, CLMP, CPCU.