Claims Technical Specialist

Core Specialty Insurance Holdings, Inc.; Atlanta (GA); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Life Insurance

Short-term Disability

Long-term Disability

401(k) Company match

Employee Assistance Plan

Health Savings Account

Flexible Spending Account

Wellness program

Job summary

Core Specialty Insurance Holdings, Inc. is seeking a senior property claims professional to lead high-severity first party Property claims and oversee TPAs. The role requires evaluating coverage, managing claim diaries, and ensuring regulatory compliance across multi-jurisdictional markets including FL/TX.

Ideal candidates will have 5+ years in Commercial Property claims, an adjuster license, and strong negotiation, communication, and MS Office skills. Travel is required as part of the job.

Qualifications

• Bachelor’s degree or equivalent experience.
• Minimum 5 years Commercial Property claims experience; Personal Lines Property and Liability preferred.
• Active adjuster license(s) as required.
• Experience in FL and/or TX markets; multi-jurisdictional experience preferred.

Responsibilities

• Ensure compliance with claim handling guidelines regarding coverage, investigation, liability, damages evaluation and resolution.
• Provide technical oversight and direction to TPA claim handlers.
• Evaluate insurance contracts for coverage issues.
• Manage claim diaries to maintain progress toward claim resolution.
• Provide oversight and/or direct claim handling in accordance with jurisdictional regulatory requirements.
• Represent the company’s interest in claim market meetings.
• Provide timely communication to internal partners regarding large losses and insights.
• Contribute to process improvements in the Property Division and QA program.

Skills

Negotiation

Communication

Claims handling

Travel

Microsoft Office

Claims system

Education

Bachelor’s degree

Tools

Claims management software

Job description

A key member of the Property Claim team, responsible for direct handling of first party Property claims of high severity and complexity. Responsibilities may also include oversight of first party Property claims handled by Third Party Administrator partner(s).

Key Accountabilities/Deliverables:

• Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages evaluation and resolution
• Provide technical oversight and direction to TPA claim handlers
• Appropriately evaluate insurance contracts, including timely identification of coverage issues
• Effectively manage claim diaries to maintain progress toward claim resolution
• Provide oversight and/or direct claim handling in accordance with jurisdictional regulatory requirements
• Effectively represent the company’s interest in claim market meetings
• Provide timely and proactive communication to internal business partners regarding large losses and relevant insights
• Contribute to continuous improvement of the Property Division by evaluating and implementing processes to improve customer service, technical excellence and/or efficiency of the operation.
• Participate in the Property Claim Quality Assurance program

Technical Knowledge and Understanding:

• Knowledge of Commercial Property coverage forms
• Experience in FL and/or TX market(s); multi-jurisdictional experience preferred
• Strong working knowledge of building damage estimating practices
• Understanding of legal and regulatory environment
• Advanced negotiation skills, including alternative dispute resolution (Appraisal, Mediation, Arbitration)
• Ability to travel
• Strong communication skills (verbal and written)
• Ability to review processes and determine opportunities for improvement
• Proficient in use of automated claim system
• Solid understanding and ability to utilize Microsoft Office applications
• Adjuster license(s) as required

Experience:

• Bachelor’s degree or equivalent experience
• Minimum 5 years Commercial Property claims experience
• Additional Personal Lines Property claim experience preferred
• Liability claim experience preferred
• Litigation Management preferred

Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.

At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program