Auto Claims Specialist

The Auto Claims Specialist is responsible for handling and managing complex coverage, liability investigations, and settlement negotiations for 1st and 3rd party auto claims. They will analyze first reports, contact insured/claimants promptly, and evaluate contract language to identify coverage issues. The specialist will develop and maintain accurate and timely investigation and loss analysis, establish reserves, and recognize and pursue recovery. They will adhere to statutory and regulatory fair claims practices and identify potential fraudulent claims. The specialist will also manage the use, work product, and expenses of outside vendors, evaluate claim facts, and negotiate claim settlements. They will serve as a technical resource to lesser experienced adjusters and contribute to the team's goals and objectives.

We are seeking candidate in Phoenix, AZ and Chesapeake, VA. This is a hybrid 3/2 schedule, 3 days working in the office 2 days working from home.

RESPONSIBILITIES:

• Analyze first reports and promptly contact insured/claimants

• Effectively evaluate contract language and identify coverage issues

• Develop the file to provide accurate and timely investigation and loss analysis

• Maintain an active file diary to move the file toward resolution

• Establish accurate and timely reserves

• Recognize and pursue recovery

• Adhere to all statutory and regulatory fair claims practices

• Recognize and identify potential fraudulent claims

• Manage the use, work product, and expenses of outside vendors

• Evaluate claim facts and negotiate claim settlements

• Develop and maintain strong business relationships with internal and external customers

• Serve as a technical resource to lesser experienced adjusters

• Contribute to the development and delivery of the team's goals, objectives, and results

• Support workload surges and/or Catastrophe Operations as needed, including working overtime during designated CATs.