Senior Complex Claim Specialist

Overview

This position is responsible for investigating, evaluating, and resolving large and complex litigated property claims involving commercial buildings, equipment, and inventory. The adjuster must have extensive knowledge of property insurance policies, coverages, and exclusions, as well as strong litigation experience and the ability to negotiate and communicate effectively with clients, brokers, counsel, and other parties. The adjuster must also be able to handle multiple litigated claims, manage litigation timelines and deadlines, and prioritize workloads in a fast-paced environment, while assisting with overflow claims during slower litigation periods.

Responsibilities

• Review and analyze complex litigated commercial property claims, including verifying coverage, determining liability, assessing damages, and evaluating litigation strategy and exposure.
• Conduct thorough investigations, including interviewing witnesses, inspecting property damage, reviewing documents, consulting experts, and collaborating with legal counsel on litigation matters.
• Prepare detailed and accurate reports, estimates, and reserves for each claim.
• Negotiate and settle litigated claims within authority limits, in coordination with legal counsel, and in accordance with company guidelines and best practices.
• Communicate proactively and professionally with clients, brokers, and other stakeholders throughout the claim process.
• Maintain and update litigated claim files and records using various systems and tools, ensuring all litigation documentation and correspondence is properly organized and accessible.
• Provide technical guidance and mentoring to less experienced adjusters on litigated claims handling and litigation management best practices.
• Thorough understanding of laws, principles of coverage, liability and insurance industry in general.
• Effective communication skills; ability to obtain information from others and deliver information to others orally and in written form.
• Ability to travel to various loss locations within assigned territory to meet with clients, legal counsel, and other litigation parties.

Essential Job Functions

• Oversees the handling of all aspects of the claims assigned to the unit including reserving, communication, documentation, litigation management, evaluation, negotiation and settlement.
• Ensures all claims eligible or ineligible for payment conform to quality, production standards and specifications.
• Ensures claim processing is consistent with applicable policies, procedures, and departmental guidelines.

Qualifications

 

• Minimum of five years of experience as a property adjuster, with substantial experience handling complex and large litigated commercial claims.
• Professional designations such as AIC, CPCU, or SCLA are preferred; litigation claim management experience is required.
• Strong analytical, problem-solving, and decision-making skills.
• Excellent verbal and written communication skills.
• Proficient in Xactimate, Microsoft Office and other relevant software applications.
• Ability to travel to meet with clients and other parties.
• Valid adjuster’s license in appropriate jurisdictions or ability to obtain such, if required by subordinate position duties.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

 

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

 

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.