Berkley

Senior Casualty Claims Representative

Location Name ME, Westbrook
ID
2023-9699
Date Posted
3 months ago(11/27/2023 11:41 AM)
Company
Acadia Insurance
Primary Location
US-ME-Westbrook
Loc2
NH, Bedford - 4 Bedford Farms Drive
Loc3
MA, Marlborough - 290 Donald J Lynch Boulevard
Loc4
CT, Rocky Hill - 500 Enterprise Drive - 2A
Category
Claims

Company Details

Acadia Image

 

Acadia Insurance is a regional property casualty insurer with offices throughout the Northeast.  As a member of W.R. Berkley Corporation (NYSE: WRB), one of the largest property casualty insurance holding companies in the United States, our financial strength and integrity are two of the main reasons why Independent Agents place business with us.  Acadia is rated A+ (Superior) by A.M. Best, with an A+ claim paying ability rating by Standard & Poor’s.  

 

At Acadia, we value our employees, our customers and our communities.  Employees at Acadia are part of a progressive company where everyone can make a difference.  We promote an inclusive environment which encourages continuous learning and the chance to grow and develop. 

 

https://www.acadiainsurance.com/

Responsibilities

The Sr. Claims Representative will investigate, evaluate and resolve assigned claims in accordance with company standards, procedures, and state regulatory requirements.

 

Key functions include but are not limited to the following:

Claims Representative

  • Perform investigations in a timely and thorough manner to ensure accurate decisions on coverage, compensability, liability, and damage issues affecting claim resolutions.
  • Effectively negotiate with insureds, third-parties and claimants listening carefully to their demands and using an objective approach to resolve the claim fairly.
  • Control file-related expenses through efficient utilization and monitoring of "outside" vendors.
  • Inform other departments of positive/negative conditions noted during investigations which may impact company results.
  • Manage existing workloads effectively to achieve quality and quantity production goals while providing superior customer service.
  • Participate in special account reviews and present agents and insureds with recommendations for improving their loss ratio and information on best practices.

Claims Representative II

  • In addition to the items listed above, this role will:
  • Steadily increase complexity and proficiency including more complex coverage and/or compensability disputes, contractual risk transfer, liability/subrogation investigations, negotiations, and strategic resolution practices. Engage appropriately with agents and insureds in increasingly complex discussions and capable of leading synergy meetings.
  • In addition to demonstrating increased proficiency with systems and workflows, actively engage in roundtable discussions, Synergy meetings and on-site investigations.
  • Possess understanding of litigation competencies.

 

Senior Claims Representative

  • In addition to the items listed above, this role will:
  • Assist in the training and development of claim personnel as needed.
  • Under general direction, handles complex cases and those involving complex questions of coverage, compensability, legal liability and damages.
  • Handles complex bodily injury, property damage and workers’ compensations cases utilizing experts and outside firms as required.
  • Works closely with underwriting in developing and interpreting policy language and, in conjunction with loss control, assists in the analysis and recommendations on loss sensitive and special accounts.
  • May serve as team leader or mentor in the training and development of less experienced staff and provides input in roundtable discussions.
  • Attends settlement conferences, trials and mediations on a regular basis.

 

Senior Claims Representative II

  • Include all elements at the Senior Claims Representative position to the highest level of performance, with a track record and expectation of internal leadership and external relationship-building.
  • Demonstrate professionalism and promote Acadia's values and presence as a Trusted Advisor internally and externally.
  • Have a strong understanding of the business of insurance outside of the claims discipline.
  • Significant independence in claims handling of the most complex claims not requiring major case unit/specialty handling.
  • Effectively mentor staff including providing direction for claims handling strategies within their authority.
  • Exhibit initiative, a team minded attitude, be proactive in anticipating areas of concern.

 

Qualifications

Senior Claims Representative I & II

  • Bachelor's degree (B. A.)
  • Minimum Five years of related experience and/or training; or equivalent combination of education and experience.

Additional Company Details

We do not accept unsolicited resumes from third party recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

Sponsorship Details

Sponsorship not Offered for this Role

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