Commercial Claims Specialist - Louisville Kentucky

Company: Encova Insurance
Location: Louisville, Kentucky
Posted On: 01/15/2025

The salary range for this job posting is $61,742.00 - $98,788.00 annually + bonus + benefitsThe above represents the salary range for this job requisition. Ultimately, in determining your pay and job title, we'll consider your location, education, experience, and other job-related factors. Your recruiter can share more information about the specific salary range during the hiring process.This role will work home-based from any of our listed licensed payroll states and will report to the Manager, Commercial Claims. Are you a Referral?If you know a current Encova Insurance associate and would like to apply as a referral, please encourage them to submit your referral information before you submit your application. You will receive an email with a direct URL link to the Job Posting of interest. Applying through this URL link will create your referral relationship for our Talent Acquisition Team.Unique residence requirements are listed in each job posting, please review closely for details. Encova is only able to employ associates who reside and work within specific U.S. states. Our current policies are based on the laws in states in which we are registered for payroll. Our current footprint includes:Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.JOB OBJECTIVE:The Commercial Claims Specialist primarily investigates, evaluates and processes commercial claims which includes complicated coverage issues.ESSENTIAL FUNCTIONS:

• Handle commercial general liability claims which includes but not limited to construction defects, third party injuries, and acts, errors and omissions claims.
• Handle mechanical professional liability damage claims in conjunction with damage appraisers and outside experts.
• Handle third party property damage claims in conjunction with property resolution specialists.
• Coordinate inspections with outside vendors including but not limited to cause and origin experts and engineers.
• Provide limited handling for commercial lines lawsuits as requested.
• Comply with the claims organization's policies, established best practices and jurisdictional guidelines.
• Comply with practices and procedures for contact and communication, verification of coverages, determination of liability, investigation of losses, and determination of claims values, completion of forms and reports, and negotiation and settlement of claims.
• Comply with all state unfair claims practices acts and obtain state licensing as required.
• Maintain competency in the use of the claims system and manage efficient and effective follow-up practices.
• Effectively investigate and close a minimum average of 25 losses per month.OTHER FUNCTIONS:
  • Maintain an ongoing understanding of claims processes, procedures and systems, and keep current on fair claims practices laws, compliance issues, and business-related developments.
  • Make limited outside contacts at the discretion of the manager of commercial claims.
  • Perform other duties as assigned.KNOWLEDGE, SKILLS AND ABILITIES:
    • This position requires a minimum of 5 years' experience as a claims resolution specialist or related industry experience.
    • The candidate must have demonstrated excellent telephone and personal claims negotiation and investigation skills.
    • The individual must understand tort law and possess strong knowledge of medical terms and treatments and display good judgement in their decision making.
    • An excellent knowledge of commercial lines policies and coverages is required.
    • The candidate must understand auto and building repair methods and be able to analyze both if required in their specific job duties.
    • The individual should actively demonstrate the skills and abilities listed in the claims resolution specialist job description.
    • Continuing Education is preferred and may be obtained through the following: In-house Claims Training Classes, The Institutes (Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations) or other accredited insurance education provider.
    • A college degree is strongly desired and multi-language skills a plus.This position has been evaluated in accordance with the Americans with Disabilities Act. Encova Insurance makes every effort to reasonably accommodate disabilities to permit performance of the essential functions and candidates who need such accommodation are encouraged to seek it. This description reflects the nature and level of work performed by associates in this position. It is not an all-inclusive inventory of duties, responsibilities and qualifications required. It provides an accurate overview of the work and skills needed to perform this position. Because job content may change from time to time, Encova Insurance reserves the right to add and/or delete functions from this job as it deems necessary for business reasons.Ready to join our team?At Encova Insurance, we firmly believe that our associates drive our company's success by delivering unrivaled service to our customers. With success in mind, we make an ongoing effort to provide an environment that offers challenging, stimulating and financially rewarding opportunities.Join us to discover a work experience where your diverse ideas will be met with enthusiasm - where you can learn and grow to your fullest potential.What you can expect from usJoin our family of industry leaders, and let us reward you with a competitive salary, bonus and benefits package that includes but is not limited to: a 401(k), wellness programs, bonus incentive plans and flexible schedules, with an early close of the office every Friday. Additionally, Encova aspires to be an outstanding corporate citizen in all the markets we serve; we encourage and support associate participation in community initiatives through our foundations.Encova Insurance is an EOE/E-Verify employer. More...

          

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