Senior Claim Representative I, CA

This position is a technical expert role in the claim handler career path, handling complex claims with litigation, coverage, or catastrophic elements, and may serve as a department leader or acting manager.

Location: United States

Salary: Between $80,960 and $135,520

Responsibilities

• Independently administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts.
• Establishes timely and appropriate reserves based on claim profile and anticipated financial exposure.
• Represents the Company by working closely with customers, agents and brokers to resolve the most complex claim issues.
• Negotiates settlements with attorneys or injured and exercises independent judgment to settle cases prior to mediation or litigation.
• Manages outside vendors to ensure cost containment efforts.
• Establishes and maintains effective working relationships with all internal and external customers.
• Stays abreast of changes in relevant statutes and case law.
• Actively participates in agent/client relationship management.
• Mentors team members.
• May serve as department leader in the absence of management or act as manager designee.

Requirements

• Bachelor’s degree in a related field or relevant combination of education and experience.
• Continuous learning and certification or progress toward certification is highly preferred.
• Seven years of progressively more responsible experience in a claims environment, with experience handling claims in multiple jurisdictions preferred, or two years of AF Group Claims Representative III experience handling complex claims.