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The Senior Claims Specialist works within a Claims Team supporting Eberle Vivian claims, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex within assigned authority limits. This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of commercial property/casualty claims involving bodily injury or property loss. The Senior Claims Specialist may also assist the Claims Team Manager with assigning new claims to team members, providing technical direction, and monitoring caseloads.
The ideal candidate will reside in Kent, WA or Portland, OR.
- Plans and conducts investigations of claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate.
- Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.
- Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.
- Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company.
- Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process.
- Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews.
- Performs other duties as assigned.
The job of Director, Finance – Workers’ Compensation Trust and Unemployment Pool (WCT/UP) is done for the purpose/s of providing leadership, strategic oversight, and management for the delivery of responsive, high quality, and dependable financial services to WCT/UP; and serving as the subject matter expert to provide financial information, guidance, and recommendations to WCT/UP Leadership, Executive Advisory Boards, WCT/UP membership, and regulatory agencies.
- Bachelor’s degree in accounting-related field (Associate's degree in accounting-related field and 2+ years of progressively responsible work-related experience may substitute for Bachelor’s degree)
- Enterprise-wide financial reporting and accounting experience
- Senior level supervisory/management experience
- Experience managing consulting auditors and actuaries
- Knowledge of Washington State regulations
- GASB accounting experience
- Insurance accounting experience
- CPA, MBA, or MPA
- Advanced spreadsheet and/or database proficiency