Claims Specialist

• To analyze Auto Bodily Injury Litigation claims on behalf of our valued clients to determine benefits due.
• Ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
• Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
• Negotiating settlement of claims within designated authority.
• Communicating claim activity and processing with the claimant and the client.
• Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.

Auto & Bodily Injury Litigation Claims Examiner – Commercial Auto

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.

Field Property Claims Adjuster

• Conduct both virtual and on-site investigations by visiting policyholders’ residences to assess property damage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
• Use claims handling software, a company car, and a laptop to determine claims-related damage and write estimates in a paperless environment.
• Evaluate and report on potential subrogation opportunities.
• Reports incidents involving theft, fraud, or arson to appropriate state and industry agencies.
• Perform duties independently, with work directly impacting management outcomes.
• Acts as a company representative in public interactions, maintaining a professional demeanor consistent with management standards.
• Engages regularly with a variety of stakeholders, including policyholders, claimants, agents, witnesses, contractors, law enforcement, fraud and arson investigators, attorneys, medical professionals, and other relevant parties.
• Use strong customer service skills to negotiate with policyholders to settle the claim.
• Promotes safety at all times and complies with safety/ergonomic standards as outlined in relevant company published manuals.

• Review Claims Documentation: Examine photos, estimates, reports, contracts and other documentation submitted by policyholders, contractors, or field adjusters to assess damage and determine the extent of loss.
• Assess Property Damage: Analyze claims for accuracy and determine the cause of damage, ensuring compliance with policy terms and conditions.
• Estimate Costs: Collaborate with vendors to estimate repair or replacement costs based on the damage reported.
• Process Claims: Manage claims through the full lifecycle, from initial report to settlement, ensuring all required documentation is collected and all deadlines are met.
• Negotiate Settlements: Communicate with policyholders, contractors, and service providers to negotiate fair settlements.
• Provide Customer Service: Act as a primary point of contact for policyholders, responding to questions, clarifying policy coverage, and resolving issues related to claims.
• Maintain Detailed Records: Document all communications, decisions, and actions taken throughout the claims process to ensure accurate claim files.
• Ensure Compliance: Follow company procedures, legal requirements, and industry regulations when processing claims, ensuring that all actions taken are in line with regulatory standards.

Property Claims Adjuster

• Investigate and handle automobile claims from initial report through resolution.
• Evaluate coverage, determine liability, and assess damages.
• Negotiate claims and guide customers through the claims process.
• Identify potential subrogation or fraud and partner with internal teams.

Auto Telephone Claims Adjuster

• Investigating, evaluating, and negotiating general and auto liability claims.
• Conducting thorough investigations of coverage, liability, and damages.
• Communicating effectively with internal and external customers on claims issues.
• Maintaining and managing a diary system to manage claims inventory.
• Preparing Large Loss reports and maintaining ongoing claim updates.

Claims Analyst IV – Auto and GL

• Provides quality investigation and analysis to adjust claims of medium complexity/severity, including litigated files, to proper resolution
• Promotes the success of the organization through development of relationships with agencies, policyholders, and employees
• Collaborate and communicate with agents, policyholders, and internal stakeholders on claims of medium complexity/severity and book of business
• Investigate losses, identify coverage, evaluate liability and damages, review and analyze documents and legal pleadings
• Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines
• Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
• Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs
• Collaborate with internal partners to address contractual indemnifications and/or additional insured coverage issues
• Collaborate with counsel to manage litigated claims
• Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing

Senior Auto & General Liability Claims Adjuster

• To analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
• Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
• Responsible for litigation process on litigated claims.
• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to excess carrier(s).
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.
• Performs other duties as assigned. Supports the organization's quality program(s).

Claims Examiner, Auto – Bodily Injury

• Analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages
• Analyze complex auto bodily injury claims on behalf of clients
• Process complex auto commercial and personal line claims, including bodily injury
• Ensure claim files are properly documented and coded correctly
• Responsible for litigation process on litigated claims
• Coordinate vendor management, including use of independent adjusters
• Report large claims to excess carrier(s)
• Develop and maintain action plans to ensure state required contact deadlines are met
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage
• Communicate claim action/processing with insured, client, and agent or broker when appropriate
• Perform other duties as assigned
• Support the organization's quality program(s).

Claims Examiner – Auto, Bodily Injury

• This position will be accountable for successfully investigating, reserving, assigning and settling first party property losses while delivering superior customer service.
• The ideal candidate will operate in the full file model and handle all claims by selecting the proper estimating resource to adjudicate the claim.
• Ensure quality standards are met with vendors utilized to adjudicate the claim.
• Claim File Management: Handle claim files in a manner consistent with Claim quality standards and goals.
• Negotiate skillfully in challenging situations with internal and external groups.
• Make independent business decisions to move claims forward as needed.
• Consistently provide high-quality customer service Meet or exceed expectations and requirements of internal and external customers.
• Properly assess the exposure of assigned claims.
• Utilize organization and communication skills to effectively resolve assignments, manage claim deadlines, and appropriately manage vendors.
• Develop technical and jurisdictional expertise, including knowledge of independent adjusters, contractors, vendors, etc.
• Set appropriate and timely file reserves.
• Identify and properly manage subrogation, salvage and other recovery opportunities.
• Identify fraud indicators and initiate investigation.
• Always demonstrate professionalism and establish credibility when interacting with customers; personally enhance The Hartford’s reputation in the marketplace.

• Responsible for handling primarily Transportation/Logistics, Motor Truck Cargo, and other Inland Marine claims
• Handles moderate to complex exposure claims
• Confirms coverage of claims by reviewing policies and documents
• Directs and monitors assignments to experts and outside counsel
• Analyzes coverage and communicates coverage positions
• Prepares coverage position letters
• Conducts, coordinates, and directs investigation into loss facts and extent of damages
• Provides timely service throughout the life cycle of the claim by meeting service level agreements
• Evaluates information on coverage, liability, and damages
• Negotiates and settles claims
• Participates in special projects or assists other team members as requested
• Travels to mediations, trials, and conferences as required

Senior Claims Examiner, Inland Marine

• Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution
• Conduct thorough coverage analysis on all new losses
• Investigate claims by gathering and analyzing relevant documentation
• Assign, direct, and manage outside defense counsel
• Maintain accurate and timely reserves on all files
• Proactively communicate with insureds, brokers, and carriers on claim status
• Identify subrogation, contribution, and recovery opportunities on applicable files

Claims Examiner – General Liability, Professional Lines

• Review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards.
• Identify discrepancies, investigate claim issues, and determine appropriate resolutions.
• Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors.
• Support audits and quality reviews by maintaining detailed, accurate claim documentation.
• Identify trends and share insights that can improve claim accuracy and efficiency.

Pharmacy Claims Representative 2

• Make initial contacts with interest parties
• Handle moderate to high exposure construction defect claims involving residential and commercial projects.
• Analyze coverage and draft coverage position letters as needed
• Conduct liability investigations
• Comply with DOI regulations
• Retain and coordinate with defense counsel and experts to develop and execute agreed-upon litigation strategies, while managing plans and budgets to ensure effective case resolution
• Coordinate the retention of experts, subject to an agreed upon budget
• Establish timely indemnity and expense reserves based on an exposure analysis that is documented in the claim file, revisiting reserve adequacy on a continual basis
• Draft well written and comprehensive captioned reports to request reserve and settlement authority on higher exposure cases that outline all critical aspects of the case in preparation for roundtable presentations to the carrier partners
• Travel up to 10% to attend mediations, settlements conferences and trials on appropriate cases
• Keep current on key changes in case law and industry trends
• Assist underwriting and other business partners

Senior Casualty Claims Examiner – Construction

• Responsible for working with repair facilities to validate, adjudicate, and approve payment for diagnostics and repair recommendations for pre-sale repairs as well as customer vehicles under warranty.
• Properly adjudicates claims within approval limit and in accordance with department & industry standards.
• Accurately notates all actions taken and interactions with shops and customers within internal systems ensuring proper documentation of interactions.
• Effectively navigates department resources in order ensure adherence to department process flows and policies.
• Manages list of assigned pending claims and provides timely follow up with repair facilities to decision claims.
• Other duties as assigned.

Mechanical Claims Adjuster

• Investigate, negotiate and settle complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual assault
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine and complex coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders; manage claims involving coverage litigation
• Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues
• Communicate with underwriting as needed to manage claims and to alert of any significant developments
• Promptly communicate with management on adverse case developments and provide information on pertinent issues affecting professional liability product lines
• Proven ability to work in a collaborative team environment
• Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form
• Maintain and adhere to internal guidelines and procedures
• Ensure proper adherence to internal reporting requirements
• Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by management
• Participate in agent related functions and meetings as required
• Actively participate in the ongoing training and development of the claims examiners

Executive Claims Examiner

• Handle and analyze general liability claims under general supervision
• Ensure ongoing adjudication of claims within company standards and best practices
• Analyze and process property damage claims with proactive handling
• Identify coverage issues and prepare comprehensive coverage letters
• Maintain claim files timely and properly documented

Claims Specialist III, Auto & General Liability

• Manages complex primary and excess financial lines claims under claims‑made policies
• Applies strong technical expertise and sound judgment to evaluate, manage, and resolve claims in accordance with company standards and regulatory requirements
• Plan, recommend, reserve, and execute file strategies including investigation, valuation, disposition, and settlement of assigned claims
• Draft and issue timely reservation of rights letters on all files and independently draft denials for management review
• Properly assesses the exposure of assigned claims
• Establish priorities and communicate the status of assignments
• Maintain current knowledge of claim loss cost management initiatives
• Obtain first-hand customer information and use it for improvements in products and services

Senior Claims Analyst – Healthcare, Lawyers Professional Liability

• Identifies coverage and sets up new claims in the claims system along with assigning the appropriate adjuster, appraiser, and/or vendor
• Documents and notates claims as necessary, including for contacts with clients and appraisal companies
• Handles incoming correspondence to assist lenders, borrowers, and third-party administrators
• Uploads and saves imaging documents into the claim system
• Performs other daily activities, including maintaining daily tracker, distributing mail to appropriate parties, logging customer complaints, and completing special projects
• Handles incoming calls in a phone queue and uses excellent customer service skills to gather claim information
• Reviews claims statuses and notates the claims system with the status
• Proven research skills with ability to quickly locate and analyze relevant data
• High level of self-motivation and discipline to work independently
• Ability to prioritize tasks, manage time effectively, and meet deadlines
• Strong analytical and problem-solving skills
• Excellent communication and organizational skills
• Examines and researches inquiries from customers regarding the claims process, status, and settlements
• Reconciles weekly claim reserves to ensure proper tracking and reporting of reserves
• Releases custom weekly reports to carriers, clients, and third-party administrators
• Performs other duties as required

Mortgage Claims Processor

• Handle commercial auto claims with a predominant focus on resolving the material damage components of the claim
• Collaborate proactively with agents, policyholders, and internal stakeholders on claims and book of business as needed
• Investigate losses, identify coverage, evaluate liability and damages
• Develop plan of action to proactively conclude claims, engage other parties in negotiations and settle claims pursuant to guidelines
• Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
• Review and interpret commercial insurance policies and communicate coverage issues verbally and in writing

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