Sr. Claims Specialist
- Employer
- RSUI
- Location
- Los Angeles, California (Sherman Oaks)
- Salary
- Competitive compensation and benefits
- Posted
- Jul 30, 2021
- Closes
- Sep 28, 2021
- Category
- Claims
- Job Type
- Full Time
- Career Level
- Experienced (Non-Manager)
RSUI is seeking a Sr. Claims Specialist to join the Claims department in our Los Angeles, California Office. A Sr. Claims Specialist provides a high level of specialized technical claims handling expertise, with limited supervision, across various lines of business. Responsibilities may include analyzing coverage issues and the handling of complex, high exposure claims.
Responsibilities:
- Assertive daily handling of a high volume of claims including the managing of litigation and the recognition of diverse coverage issues.
- Works in concert with the Team Leader to plan and execute investigation, settlement negotiations, or sustain an appropriate denial governed by company guidelines.
- Provides appropriate reporting on files to the Team Leader with recommendations on reserving, plan of action, and current evaluation as required.
- Acts independently in evaluating claim exposures within assigned dollar authority.
- May perform other duties as assigned.
Qualifications:
- College degree strongly preferred.
- Requires a minimum of 7-10 years claim handling practices experience.
- Adjuster’s licenses required. Must be able to obtain and maintain the required Adjuster’s licenses.
- Excellent customer focus, interpersonal and communication skills
- Possesses an excellent in-depth, practical working knowledge in area of specialization including policy interpretation, coverage issue identification, statutes and state regulations, litigation management, excellent skills conducting and guiding investigation, adjustments, file documentation, case negotiation and settlement steps and strategies.
- Working knowledge of Microsoft Office Products (Outlook, Work and Excel)
- Superior work ethic with strong customer service orientation and sense of urgency
- Requires strong technical and analytical skills coupled with above average communication abilities.
RSUI provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type on the basis of race, color, religion, gender, gender identity, sexual orientation, national origin, age, disability, marital status, amnesty, genetic characteristics or genetic information, pregnancy or childbirth, veteran status, and any other characteristic protected by applicable Federal, state, and local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
RSUI will consider for employment qualified applicants with criminal histories in a manner consistent with the Los Angeles Fair Chance Initiative for Hiring Ordinance.