Complex Casualty Claim Specialist

Kingstone Insurance Company

Complex Casualty Claim Specialist managing complex casualty/bodily injury claims for Northeast customers. Investigating and negotiating settlements while operating remotely during EST business hours.

Posted 7/31/2026full-timeRemote • New York • 🇺🇸 United StatesSeniorLead💰 $90,000 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in managing complex casualty and bodily injury claims, with a strong technical understanding of insurance coverage and claim procedures. Effectively communicates and collaborates with legal counsel and stakeholders while adhering to corporate policies and service standards.

Highest-signal resume keywords

Bachelor's Degree8+ Years Experience in Casualty ClaimsMedicare Reporting KnowledgeClaims ManagementLicensing in All States

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims HandlingNegotiationReserve AdjustmentISO Claim InputClaims Analysis

Soft Skills

Effective CommunicationDetail-OrientedTeam PlayerInitiativeOrganizational Skills

Certifications & Qualifications

Insurance Designations

Industry Keywords

Bodily Injury ClaimsLitigation ManagementClaim Expenses ControlRemote WorkClaims Handling Guidelines

About the role

Key responsibilities & impact

Investigate, evaluate, and negotiate settlements while applying technical knowledge and skills to effect fair and prompt resolution of cases.
Adjust reserves and provide recommendations to ensure reserving activities are consistent with corporate policies.
Effective communication of reserve and reinsurance notices and reports.
Communicate promptly and professionally with all parties when answering questions and gathering claim information.
Adhere to company service standards and claims handling guidelines.
Effectively manage and control litigation and claim expenses (budgets, experts, and claim strategies).
Confer and direct legal counsel on claims requiring litigation, attend mediations, arbitrations and/or trials when necessary.
ISO claim input and reporting.
Resolve claims within designated authority level.
Maintain claim files with professional notes, claim summary, detailed analysis, and specific action plan with target dates.
Perform other duties as assigned by management and mentor less experienced staff.

Requirements

What you’ll need

A bachelor’s degree (required).
8+ years of experience managing and handling complex casualty/bodily injury claims at an insurance carrier.
Continued insurance education and/or designations.
Licensing, or the ability to become licensed, in all states in which Kingstone polices are written.
Knowledge of Medicare Reporting guidelines and Medicare Set Aside qualifications.
A curious mindset, strong technical skills in claims, and a passion for the field.
A thorough technical understanding of insurance coverage and claim procedures.
A team player who demonstrates initiative and works effectively in a remote work environment.
Detail-oriented with excellent organizational skills.
Capacity to perform effectively in stressful situations.
Ability to travel as may be required to attend meetings, trials, mediations, or other legal proceedings.

Benefits

Comp & perks

Comprehensive health benefits
Life and disability insurance
401(k) with company match
Paid parental leave
Paid vacation, paid holidays, and birthday off
Peer recognition program