Senior Claim Resolution Specialist I, Property

Description

The Senior Property Claims Resolution Specialist works within a Claims Team, using the latest technology to review, analyze and process claims that are routinely characterized as moderately complex to complex claims.  This includes making decisions about liability/compensability, evaluating losses, negotiating settlements and managing an inventory of First Property Claims to include Dwelling, Contents and Additional Living Expense exposures.  While this role requires the ability to work independently, it also involves collaboration within a team environment, as multiple adjusters are assigned to the same claim.

Preferred candidate will be located within a 50-mile radius of the Plano Office and reside in the Central time zone.

You will be required to go to the office twice a month If you live within 50-mile radius of the Plano Office.

 

Responsibilities:

• Handle highly complex first party property claims, applying strong investigative and analytical skills.
• Plans and conducts thorough 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, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts. 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.
• Collaborate effectively within a team-based Large Loss model, where multiple adjusters are assigned to the same claim.
• 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.

Qualifications

• Excellent and strong interpersonal skills to communicate and negotiate with customers and other parties to conduct investigations required.
• Highly detail - oriented with strong investigated skills and the ability to review policy language and interpret coverage.  
• Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively.
• Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelors degree (or equivalent training) plus 3 years property claims related work experience.
• Required to obtain and maintain all applicable licenses.