Claims Technical Specialist

Kalepa; Atlanta (TX); Remote; USD 90,000 - 140,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Short-term disability

Long-term disability

401(k) plan

Employee Assistance Plan

Health Savings Account

Flexible Spending Account

Wellness program

Job summary

Core Specialty is seeking a Claims Technical Specialist to lead high-severity first-party Property claims in a remote capacity across the U.S. The role includes direct handling and oversight of TPAs, with a focus on coverage issues, liability, and damages evaluation.

The candidate should have 5+ years in Commercial Property claims, an active adjuster license, and strong skills in negotiation, communication, and process improvement. Travel may be required.

Qualifications

• Bachelor’s degree or equivalent experience.
• Minimum 5 years Commercial Property claims experience.
• Active Adjuster license(s) as required.
• Experience in TX/FL markets preferred.
• Strong knowledge of building damage estimating.
• Understanding of regulatory environment.
• Excellent negotiation and communication skills.

Responsibilities

• 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.
• Travel as needed to handle claims.
• Represent the company’s interests in claim market meetings.
• Contribute to continuous improvement of the Property Division by evaluating and implementing processes to improve customer service, technical excellence and efficiency.

Skills

Property claims

Regulatory knowledge

Negotiation

Communication

Process improvement

MS Office

Travel

Claim system

Education

Bachelor's degree

Tools

Microsoft Office

Claim management system

Job description

## Claims Technical SpecialistApply: TX Dallas: GA Atlanta: Full time: Posted Today: JR101582-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. #LI-Remote-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 programCore Specialty offers a diversified range of property and casualty insurance products for small to mid-sized businesses. From underwriting offices spanning the U.S., the Company focuses on niche markets, local distribution, and superior underwriting knowledge, offering traditional as well as innovative insurance solutions to meet the needs of its customers and brokers. For further information about Core Specialty, please visit www.corespecialtyinsurance.com.