Claims Specialist (81921)
Claims Specialist (81921)
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Job Description
Requisition:81921
PSEG Company:PSEG Services Corp.
Salary Range: $63500 $100500
Work Location Category:Hybrid Flexible
PSEG operates under a Flexible Work Model where flexible work is offered when job requirements allow. In support of this model roles have been categorized into one of four work location categories:
Onsite are roles that have specific onsite requirements and are typically onsite daily.
Hybrid fixed are roles that are a blend of onsite work/inperson interactions with some ability to work remotely and require employees to live within a commutable distance and be onsite fixed days each week.
Hybrid flexible are roles that can be performed remotely but require some level of onsite work/inperson interactions on a regular basis require employees to live within a commutable distance and since business needs vary by position and may change over time managers will set expectations and flexibility regarding where and when work is performed.
Fully remote are roles that can be performed remotely require employees to live in approved states and will have purposedriven inperson interactions on occasion.
We want you to be healthy balanced and feel secure. Thats why youll enjoy a comprehensive range of benefits with a focus on supporting your whole health. Starting on day one of your employment youll be offered several healthrelated benefits including medical vision dental wellbeing and behavioral health programs. We also offer a retirement program 401(k) with company match company paid life insurance tuition reimbursement and a minimum of 18 days of paid time off per year (including vacation scheduled holidays and floating holidays).
PSEG offers a unique experience to our more than 12000 employees we provide the resources and opportunities for career development that come with being a Fortune 500 company as well as the attention camaraderie and care for one another you might typically associate with a small business. Our focus on combatting climate change through clean energy technology our new net zero climate vision for 2030 and enhanced commitment to diversity equity and inclusion; and supporting the communities we serve make this a particularly exciting time to join PSEG.
Job Summary
This position reports to the Manager Operations and Claims and investigates and defends PSEG when 3rd parties file damage claims against the Company. This position will investigate and resolve claims made against the Company that do not require field investigation.
Job Responsibilities
Builds comprehensive investigation data and fact patterns by securing and evaluating company and noncompany records (e.g. paper documents; electronic computerbased files); conducts interviews with customers witnesses internal clients law enforcement officers insurance company representatives and other outside disinterested parties to obtain facts of case.
Prepares formal written investigation reports letters and other documents
Evaluates claims with regard to both liability and damages.
Analyzes and establishes liability and evaluates financial and other risk to the Company and independently negotiates matters on behalf of PSEG
Responds to and handles to resolution executive/customer complaint issues as requested by the Utility Customer Relations and External Affairs
Sets accurate reserves in accordance with PSEGs financial guideline
Approves or denies claims directly with customers attorneys and insurance carriers. In matters that cannot be resolved prepares the case for arbitration and/or litigation. Renders testimony before Courts administrative panels and arbitrators.
Job Specific Qualifications
Basic Qualifications:
Associates Degree and one year insurance claims investigation or utility experience or minimum 2 years insurance claims investigation or utility experience.
Knowledge of the utility business insurance general investigation or claim experience is REQUIRED.
Candidate must foster an inclusive work environment and respect all aspects of diversity.
Successful candidate must demonstrate and value differences in others strengths perspectives approaches and personal choices.
Required Competencies:
Candidate must be selfmotivated have the ability to handle a heavy caseload work independently and efficiently under pressure in a high stress and sometimes ambiguous environment and/or with difficult customer interactions.
Candidate must have excellent negotiation interviewing and investigative skills as well as oral and written communication skills time management problem solving and analytical skills.
Excellent Computer skills in the Microsoft Office Suite
Desired Qualifications:
Demonstrated working knowledge of PSE&G operations coupled with prior investigation and/or claims experience.
Knowledge of applicable tariffs case law and statutes insurance laws and practices State/Federal Contractor Regulations and Law New Jersey Motor Vehicle Regulations Underground Facilities Protection Act and PSEG operating policies and practices.
Interpretative knowledge of the energy operating infrastructure.
Knowledge of proprietary systems utilized by the Claims Department e.g. ROXI iPower SAP DWMS GIS and OMS.
As an employee of PSE;G or PSEG Long Island you should be aware that during storm restoration efforts you may be Required to perform functions outside of your routine duties and on a schedule that may be different from normal operations.
Minimum Years of Experience
Education
Certifications
Disclaimer
Certain positions at the Company may require you to have access to Part 810Controlled Information. Under the law the Company is limited in who it can share this information with and in certain circumstances it is necessary to obtain specific authorization before the Company can share this information. Accordingly if the position does require access to this information you must complete a 10 CFR Part 810 Export Control Compliance Nationality Request Form a copy of which will be provided to you by Talent Acquisition if an offer is made. If there is a need for specific authorization due to the time it takes to obtain authorization from the government we will likely not be able to further proceed with an offer.
If you are a current PSEG employee and if you are offered an opportunity with PSEG Long Island you will be treated as a new hire. Please note that as a new hire to the Long Island subsidiary your benefits will change and generally will be consistent with other similarly situated PSEG Long Island new hires. Similarly for PSEG Long Island employees who accept job opportunities with PSEG or any of its subsidiaries (other than PSEG Long Island) their benefits would change and generally be consistent with other similarly situated new hires of that company.
As an employee of PSE&G or PSEG LI you should be aware that during storm restoration efforts you may be required to perform functions outside of your routine duties and on a schedule that may be different from normal operations.
For all roles PSEGs drug and alcohol testing program includes preemployment testing testing for cause and postincident/accident testing. For employees in federally regulated roles (including positions covered by USDOT PHMSA or NRC regulations) this also includes random testing. Although numerous states throughout the country have legalized marijuana/cannabis products recreationally and/or medically it is prohibited for employees in federally regulated roles. Employees who are hired or transfer into a federally regulated role are subject to drug and alcohol testing inclusive of marijuana. Please note that the use of CBD products may result in a positive drug test for THC/Marijuana and such use is not a legitimate medical explanation for such a positive result.
PSEG is an equal opportunity employer dedicated to a policy of nondiscrimination in employment including the hiring process based on any legally protected characteristic. Legally protected characteristics include race color religion national origin sex age marital status sexual orientation disability or veteran status or any other characteristic protected by federal state or local law in locations where PSEG employs individuals.
PSEG is committed to providing reasonable accommodations to individuals with disabilities. If you have a disability and need assistance applying for a position please callor email
If you need to request a reasonable accommodation to perform the essential functions of the job email . Any information provided regarding a disability will be kept strictly confidential and will not be shared with anyone involved in making a hiring decision.
ADDITIONAL EEO/AA INFORMATION(Click link below)
Required Experience:
Unclear Seniority
Employment Type
Full Time
