Senior Complex Claims Resolution Specialist – SC Construction Defect

Description

The Senior Claims Resolution Specialist for Small Commercial Construction Defect (CD) involves managing complex property damage claims arising from improper construction, including claims involving severe and catastrophic damage.

 

This role is responsible for the investigation, evaluation and disposition of cases on assignment, which may include an established portion of the office/team workload and/or individual assigned cases that present high exposure or complex coverage or liability issues.   Works autonomously within prescribed authority limits.  

 

CD claims is a rewarding role for anyone who enjoys analyzing coverage for third-party property damage claims.  This position provides an opportunity to really help our small commercial customers and to have a significant impact on expense and settlement strategy.  These claims provide significant technical growth in Commercial General Liability claims handling and construction loss acumen.

 

*Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.*

 

 **This position may have in-office requirements twice a month depending on candidate location.**  

 

***This is a grade range posting 14-15 - Level of position offered will be based on skills and experience at manager discretion***

 

Ideal experience includes:

• 5+ yrs Commercial General Liability
• 5+ years Litigation experience
• Property Damage experience

Responsibilities:

• Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels.
• Recommends ultimate resolution on assigned cases in excess of their authority to local claims management and Home Office.
• Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
• Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status.
• Confers with trial counsel and prepares trial reports.
• Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action.
• Responds to various written and telephone inquiries including status reports.
• Ensures adequacy of reserves.
• Recommends reserve increases on cases in excess of authority.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Responsible for managing the practices and billing activities of outside and in-house counsel.
• May assist in the absence of the Claims Team Manager, representing the company on matters involving state or federal regulatory agencies.
• May be involved in special projects and/or mentoring at the direction of local management.

Qualifications

• Must have an advanced knowledge of coverage, liability, and complex claims handling procedures.
• Must be knowledgeable of state and federal laws in the adjuster's jurisdiction.
• A full working knowledge of claims operations and procedures is required.
• Strong written and oral communication skills required as well as strong interpersonal, analytical, investigative, and negotiation skills.
• The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 5-7 years of directly related experience.
• Ability to obtain proper licensing as required.

 

Employees may apply for a new role after completing 12 months of employment in their current position.

 

Employees should review all role requirements and apply only for positions for which they are eligible. Hiring processes may vary by country, including differences in procedures, requirements, and timelines.  For country-specific details, please consult your local recruiting / HR team.

Travel

10%