Senior Claims Resolution Specialist (Auto Casualty)

The salary range for this job posting is $55,132.00 - $88,210.00 annually + bonus + benefits. Pay Type: Salary

The above represents the full 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, and will fall within the stated range. Your recruiter can share more information about the specific salary range during the hiring process.

Discover a fulfilling role where you'll investigate, evaluate, and settle casualty claims, focusing on auto casualty handling claims up to $100,000. You'll apply your expertise in claims handling and negotiation within established guidelines, ensuring efficient resolution and client satisfaction. Ideal candidates bring prior experience in auto casualty claims resolution. Join us and make an impact in a supportive and dynamic environment!

This is a home-based opening but you must reside in one of our payroll eligible states listed on our careers page.

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:

Investigate, evaluate, negotiate and settle casualty claims and any related coverages within established best practices and applicable jurisdictional guidelines.  

ESSENTIAL FUNCTIONS: 

• Investigate, evaluate, settle and process claims.
• Handle claims including injury and third-party property damage claims primarily under personal, uninsured and underinsured motorists, and homeowners’ liability. Claims will generally range from low to moderate severity and may involve disability, wage loss and hospital treatment.
• Handle automobile physical damage claims in conjunction with material damage appraisers.
• Provide limited handling for personal 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, negotiation and settlement of claims.
• Comply with all state Fair Claims Practices acts and obtain state licensing as required.
• Maintain competency in the use of multiple claims systems and manage efficient and effective follow-up practices.
• Effectively investigate and close a minimum average of 55 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 casualty team lead.
• Perform other duties as assigned.

KNOWLEDGE, SKILLS AND ABILITIES:

• The candidate must have previous experience as a Claims Resolution Specialist or its equivalent in the industry.
• Due to the complexity of the work performed and the frequency of customer contact, experience in successfully working with customers is strongly desirable.
• Experience may be achieved in part or in full through the following: Sales experience, public service experience (e.g., police, social work) and/or other professional-level business experience.
• Continuing education during the first two years of employment 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.
• This position requires excellent knowledge of all company per