Claims Technical Specialist

Core Specialty Insurance Services, Inc.; Dallas (TX); À distance; USD 90 000 - 130 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision insurance

401(k) match

Wellness program

Employee Assistance Plan

Résumé du poste

Core Specialty Insurance Services, Inc. seeks an experienced Property Claim professional to lead direct handling of high severity first-party property claims and oversee work performed by TPAs to ensure consistency and quality.

The role requires in-depth knowledge of commercial property coverage forms, multi-jurisdictional experience (FL/TX preferred), strong negotiation skills, and the ability to travel as needed.

Qualifications

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

Responsabilités

• Direct handling of high severity first party Property claims.
• Oversight of Property claims handled by Third Party Administrator partners.
• Ensure compliance with claim handling guidelines on coverage, liability, damages and resolution.
• Provide technical oversight and direction to TPA claim handlers.
• Evaluate insurance contracts and identify coverage issues.
• Manage claim diaries to track progress toward resolution.
• Oversee claim handling in line with regulatory requirements.
• Represent the company in claim market meetings.
• Communicate timely to internal partners on large losses and insights.
• Contribute to process improvements for service, accuracy and efficiency.
• Participate in Property Claim Quality Assurance program.

Connaissances

Strong communication

Negotiation skills

Travel ability

MS Office proficiency

Claims system proficiency

Regulatory understanding

Building damage estimating

Licenses (Adjuster)

Review processes

Formation

Bachelor’s degree or equivalent

Outils

Commercial property claims software

Microsoft Office

Description du poste

Responsibilities

• - 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 and Requirements

• 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.

Benefits and Compensation

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

Company Overview

Core 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. In compliance with the Transparency in Coverage rule, issued in 2020 by US Departments of Health, Human Services, Labor and Treasury our health plan’s machine-readable files (MRFs) can be accessed via www.Cigna.com.