Claims Service Specialist III Springfield and Bridgewater Offices

Key Responsibilities

• Timely completion of all case activities maximizing customer service and minimizing net loss payout.

• Contacts all insureds claimants and witnesses that may have information relating to the loss either in person by

• telephone or in writing. This may include visiting the accident location to examine photograph and diagram

• physical facts and conduct neighborhood canvasses.

• Inputs and retrieves information using the automated claims system requests checks form letters and other

• correspondence through the automated claim system.

• Evaluates case facts determining coverage liability and reserves and reports on settlement; maintains a remindersystem.

• Interprets and evaluates medical reports to determine if they are applicable to the claim; monitors legal andmedical billings and investigates for proper charges and pays accordingly.

• Negotiates settlements with individuals attorneys and other insurance carriers within their granted settlement

• authority level.

• Pursues subrogation and may arrange for salvage to obtain the maximum recovery.

• Prepares detailed scope of damages on property losses and brings to conclusion.

• Assists when requested in the selection and evaluation of experts as needed.

• Manages litigation checking to ensure that coverages are not exceeded that legal expenses are adequate andconfers with attorney about case direction and disposition.

• Will participate in special projects or training programs.

• Will assist in the training of Claims Service Specialists II and below.

• Performs other related duties as required or requested.

• Will keep management informed of activities and problems within assigned area of responsibility.

• Provides information to all interested parties including the local agents by answering routine questionsregarding the status of the claim.

• Successfully completes all required training and applies.

• Meets basic claim handling performance standards.

• Manage and track all claims referred to Subrogation counsel.

• Daily navigation and management of E-Subro Hub.

• Prepare well written contentions for arbitration filings including Special arbitrations when coverage liabilityand/or damages are in dispute.

• Manage stretch assignments based on experience with oversight.

Requirements

• Success will be measured based on individual results compared to all established department standards in Customer Service Teamwork Loss and Expense Management as well as Continuous Improvement.

• Excellent communication customer service and collaboration skills

• 3-5 years of equivalent work related experience

• 2 or more years as a Claim Service Specialist II

• Demonstrated success in handling PIP BI MD2

• Where applicable pass the state licensing requirements

• Valid drivers license in good standing

Our current reasonable and good faith estimate of the annual salary range for this position is approximately $75000 - $78000 based on a variety of factors including but not limited to relevant skills and experience educational background and certifications performance and qualifications market demand for the role and other organizational needs.

Please note: The advertised pay range is not a guarantee or promise of a specific wage.