Insurance Claims Specialist - Pittsburgh, PA
Pittsburgh, PA 
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Posted 13 days ago
Job Description
Primary Office Location:One North Shore Center. Pittsburgh, Pennsylvania. 15212.

Join our team. Make a difference - for us and for your future.

Position Title: Claims Specialist

Business Unit: INSA

Reports to: Manager of Claims

Position Overview:

This position works directly with our clients as well as our Property & Casualty Sales Executives in relation to claims. This position possesses a high degree of technical knowledge when it comes to coverage reviews on Property & Casualty claims as well as understanding the coverages to ensure the claims are filed under the correct policy. Extensive knowledge of the claims process and coverages are important when claims consulting and claims advocacy is needed with our customers. This position requires a small amount of travel to meet with customers. Minimal supervision is required.

Primary Responsibilities:

Commercial Claims Reporting-Responsible for the reporting of incoming claims and lawsuits to the insurance carrier

Workers Compensation Mod Reviews- Will work with the Mod Analysis Application in order to do projections for our customers WC Mods. Loss Data information is reviewed and input as well as updated payroll information.

Claims Advocacy/Review of Coverages-Provides Claims Counseling and pre-claims counseling as needed to our customers. Review of coverages prior to putting in a claim as well as for reviewing denials to make sure there is not coverage on the claim. Working as a liaison between the customer and the adjuster through more difficult claims.

Follow Up on Existing Claims to monitor progress, payments and timely handling.

In person meeting with customers for Claims Reviews as well as review up claim trends that may have an impact on the customers policy.

Performs other related duties and projects as assigned.

All employees have the responsibility and the accountability to serve as risk managers for their businesses by understanding, reporting, responding to, managing and monitoring the risk they encounter daily as required by F.N.B. Corporation's risk management program.

F.N.B. Corporation is committed to achieving superior levels of compliance by adhering to regulatory laws and guidelines. Compliance with regulatory laws and company procedures is a required component of all position descriptions.

Minimum Level of Education Required to Perform the Primary Responsibilities of this Position:

BA or BS

Minimum # of Years of Job Related Experience Required to Perform the Primary Responsibilities of this Position:

5

Skills Required to Perform the Primary Responsibilities of this Position:

N/A

Excellent customer service skills

Excellent organizational, analytical and interpersonal skills

Ability to use a personal computer and job-related software

Excellent management skills

Excellent project management skills

MS Word - Basic Level

MS Excel - Basic Level

Prior Claims Handling Experience. Negotiation skills

Strong conflict resolutions skills

Licensures/Certifications Required to Perform the Primary Responsibilities of this Position:

Property & Casualty License as well as working toward Insurance Designation such as AIC or CPCU

Physical Requirements or Work Conditions Beyond Traditional Office Work:

N/A


It is the policy of F.N.B. Corporation and its affiliates not to discriminate against any employee or applicant for employment because of his or her race, color, religion, sex, sexual orientation, gender identity, national origin, or because he or she is an individual with a disability or disabled veteran, Armed Forces service metal veteran, recently separated veteran, or active duty wartime or campaign badge veteran. F.N.B. Corporation and its affiliates provide all applicants and employees a discrimination and harassment free workplace. Please Visit following page for important legal disclosures and information: https://www.fnb-online.com/disclosures

 

Job Summary
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
Open
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