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Camico Mutual Insurance - Claims Specialist

Work from home Full-time role Hiring

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  • Claims Specialist

Camico Mutual Insurance Apply Claims Specialist

  • Fully Remote
  • • Remote Worker - N/A

Apply Job Type Full-time Description CAMICO's Professional Liability Claims Specialists are responsible for investigating, evaluating, and resolving accountant professional liability claims and employment practice liability claims and assisting policyholders with potential claims in conformance with CAMICO’s claim handling philosophy and guidelines. This is a position specialized in risk management and dispute resolution for Certified Public Accountants; however, our policyholders provide a wide range of professional services to their clients, including tax preparation, tax compliance, bookkeeping, audits, financial planning, investment advice, trustee services, executor services, consulting and litigation support. ESSENTIAL DUTIES AND RESPONSIBILITIES : Manage an inventory of accountant professional liability claims and employment practice liability claims (including demands, tolling agreements, arbitrations and litigation) and other matters (including regulatory proceedings and disciplinary hearings) in all jurisdictions around the United States. Manage claims from notice to resolution, including investigating, evaluating and communicating background; allegations; coverage; retention of defense counsel; liability; damages; exposure; reserves; disposition plan; settlement negotiations; and trial resolution. Possibly manage a small number of employment practice liability claims. Provide subpoena services and handle potential claims through our Claims hotline, providing direct assistance and guidance to our policyholders. Demonstrate strong communication skills with policyholders, claimants, attorneys and experts to ensure superior customer service and policyholder support. Comply with internal guidelines and statutory requirements for claims handling. Work closely with other Departments, including Loss Prevention, Underwriting, Sales, Marketing, Finance, Customer Support, Information Technology and Human Resources. Maintain up to date knowledge of legal, insurance and accounting developments. Work on other claim-related tasks as assigned by Claims Management from time to time. Key competencies include: - Policyholder Focus; Ethics and Values; Integrity and Trust; Action Oriented; Problem Solving; Decision Quality; Dealing with Ambiguity; Negotiating; Composure; Conflict Management; and Presentation Skills. SUPERVISORY RESPONSIBILITIES: This job has no direct supervisory responsibilities, although it will be necessary to provide other staff members and outside vendors with guidance, assistance, mentoring and/or direction as appropriate.

Requirements

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Required Education, Experience and/or Qualifications

  • College degree or university program certificate.
  • Minimum of 5+ years of experience in insurance or legal environment.
  • Third party insurance claims handling experience, preferably with experience in professional liability claims, or equivalent business, accounting or legal experience.
  • Coverage experience, preferably with experience on professional liability claims or on ‘claims made and reported’ policy forms, including ability to prepare coverage letters.
  • Knowledge of legal processes and principles of professional liability laws is preferred.
  • Understanding of accounting and/or tax terminology is preferred.

Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from managers, clients, customers, and the general public. Mathematical Skills Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as discounts, interest, fractions, percentages, ratios, and proportions. Ability to understand and report financial reserve and payment information. Reasoning Ability Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extens

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