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Intertwined

Sr Claims Representative (Bodily Injury)

Full Time
Concord, NH, USA
Description

The Denzel Group is helping outstanding insurance carrier to identify a Senior Claims Representative in the Boston, MA market. This position will require 4 days a week on-site.


Job Summary: The Senior Casualty Claim Representative will manage First and Third Party Bodily Injury and Physical Damage claims in a Personal Lines environment. This role involves conducting thorough investigations, analyzing policies, managing vendors, negotiating claims, and handling complex litigation issues.


Key Responsibilities:

  • Initiate prompt contact with all relevant parties to conduct coverage and liability investigations.

  • Analyze policies to assess coverage and provide advice on Excess and Primary coverage issues.

  • Conduct field investigations and manage outside vendors to ensure necessary work is completed.

  • Timely investigation to establish and adjust reserves as needed.

  • Identify potential fraudulent claims and refer to SIU for further investigation.

  • Handle complex claims, including coverage issues and litigation.

  • Investigate subrogation potential and negotiate claims with injured parties and attorneys.

  • Attend litigation proceedings and participate in training events.

  • Prepare case summaries and participate in roundtables.

  • Maintain compliance with state laws and regulatory guidelines.

Requirements
  • Bachelor’s degree

  • 5-10 years of experience handling liability, homeowners, UM/UIM, and Excess/Umbrella claims.

  • In-depth knowledge of litigation, arbitration, and trial processes.

  • Ability to obtain out-of-state licenses as required.

  • Professional designations such as IIA, AEI, SCLA, or CPCU preferred.

  • High self-motivation and advanced skills in coverage, investigation, litigation, and negotiations.

  • Strong communication, organizational, and problem-solving skills.

  • Adherence to state laws and regulatory claim handling guidelines.



Claims Handling, Insurance Claims, Bodily Injury, Liability, Umbrella Insurance, UM/UIM, Insurance, Litigation, Claims, Claims Representative, Senior Claims Representative

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