Claims Technical Specialist

Core Specialty Insurance Holdings, Inc.; United States; Remote; USD 90,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, vision, and life insu

Short and long-term disability

Company-match 401(k) plan

Employee Assistance Plan

Retirement health accounts (HSA/FSA/HR

Wellness program

Job summary

Core Specialty Insurance Holdings, Inc. is seeking a senior Property Claims professional to handle high severity and complex first party claims. The role may also oversee Property claims handled by Third Party Administrator partners, ensuring compliance and strategic direction.

Responsibilities include technical oversight, coverage analysis, and regulatory compliance, with travel when required. The position emphasizes leadership, negotiation, and continuous improvement within the Property

Qualifications

• Bachelor’s degree or equivalent experience is required.
• Minimum 5 years of Commercial Property claims experience.
• Personal Lines Property/Liability/Litigation experience preferred.
• Knowledge of Commercial Property coverage forms and regulatory environments.
• Strong negotiation and ADR skills (Appraisal, Mediation, Arbitration).
• Willingness to travel and strong written/verbal communication.

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, including timely identification of coverage issues.
• Manage claim diaries to maintain progress toward resolution.
• Provide oversight/direct handling in accordance with regulatory requirements.
• Represent the company’s interests in claim market meetings.
• Provide timely communication to internal partners regarding large losses and insights.
• Improve processes for customer service, technical excellence, and efficiency.
• Participate in the Property Claim Quality Assurance program.

Skills

Property claims

Communication

Negotiation

Regulatory knowledge

Licenses

Education

Bachelor’s degree or equivalent experience

Tools

Automated claim system

Microsoft Office

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.

#LI-Remote

At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.

• 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