Senior Claim Technical Specialist

Insurance Information Institute, Inc.; Chapel Hill (NC); On-site; USD 110,000 - 120,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

401(k)

Flexible Spending Account

Short/Long-term disability

Life Insurance

Paid parental leave

Vacation and PTO

Job summary

IFG Companies is seeking a Senior Claim Technical Specialist to investigate, evaluate, negotiate and settle serious injury/damage claims with complex coverage and large losses across jurisdictions. The role requires deep coverage knowledge, legal awareness and expeditious reporting to management and reinsurers.

The SCTS will lead claims with reserve authority, coordinate with counsel, and mentor junior staff while travel may be required for mediations and trials.

Qualifications

• Bachelor's degree in insurance, economics, or related field.
• 8+ years of experience handling commercial general liability claims, preferably with a U.S. commercial insurer.
• Active adjuster license in home state; ability to obtain additional licenses.

Responsibilities

• Reviewing new claim reports and determining initial plans of action.
• Analyzing coverage, drafting Reservation of Rights and Declination letters as applicable.
• Pursuing culpable parties and seeking contributions.
• Identifying serious injury/damage losses and reporting to upper management and reinsurers.
• Evaluating claims with reserves appropriate to exposure.
• Reviewing expenses for adherence to billing guidelines.
• Identifying subrogation opportunities and recovery efforts.
• Directing counsel in defense of litigated claims within budgets.
• Negotiating settlements and attending mediations/trials.
• Mentoring claim examiner trainees.

Skills

Negotiation

Communication

Critical thinking

Customer service

Claims management system

Microsoft Office

Education

Bachelor's degree in Insurance/Economics

8+ years claims handling experience

Adjuster license in home state

Designations: SCLA/CCLA/AIC/CPCU

Tools

Claims management system

Microsoft Office

Job description

Salary Range: $110,000.00 To $120,000.00 Annually

Draft

POSITION SUMMARY

The Senior Claim Technical Specialist ("SCTS") is a high-impact role focused on investigating, evaluating, negotiating and settling serious injury/damage claims involving complex coverage and large loss exposures in multiple jurisdictions. The SCTS will evaluate coverage considerations, applicable laws and regulations, claim resolution approaches and report to management and reinsurers within necessary timelines and guidelines.

POSITION RESPONSIBILITIES INCLUDING

• Reviewing new claim reports and determining initial plans of action.
• Analyzing coverage relating to the facts and allegations of claims and preparing Reservation of Rights and Declination of Coverage letters, as applicable.
• Pursuing all culpable parties, providing them with formal notice and seeking contribution from such responsible entities as appropriate.
• Identifying serious injury/damage losses and reporting them timely to upper management and reinsurers.
• Evaluating all claims as the investigation develops; establishing and adjusting reserves as warranted, reserving commensurate with the claim exposure.
• Reviewing all expense bills for appropriateness, accuracy and adherence to Company billing guidelines within the Company's e-billing system.
• Identifying subrogation opportunities and ensuring efforts are undertaken, where appropriate, to recover against responsible parties.
• Directing counsel in the defense of litigated claims in accordance with established litigation plans and legal budgets.
• Negotiating claims to settlement and attending mediations, settlement conferences and trials.
• Functioning as the subject matter expert, mentoring claim examiner trainees and new claim examiners.
• Other duties, as requested.

KNOWLEDGE, SKILLS AND ABILITIES

• Demonstrated ability to deal with significant/complex coverage matters, including contractual risk transfer and additional insured issues.
• Excellent written and oral communication skills.
• Very strong negotiation, critical thinking and problem-solving capabilities.
• Outstanding customer service orientation, while demonstrating careful attention to details and an ability to multi-task.
• Strong computer skills, including the ability to work effectively in the claims management system and strong knowledge of Microsoft applications (e.g., Outlook, Word, Excel).
• Ability to exercise independent judgement with moderate supervision in handling claims within reserve and settlement authority.
• Ability to travel as business necessitates (including for mediations, settlement conferences and trials).

EDUCATION, EXPERIENCE AND CERTIFICATIONS

• Required: A bachelor's degree from an accredited U.S. college/university, with a major or coursework in insurance, economics or related fields.
• Required: At least eight (8) years of experience handling commercial general liability claims, preferably with a U.S. commercial insurer.
• Required: A valid adjuster license in designated home state and the ability to obtain additional non-residential adjuster licenses.
• A Plus:Senior Claim Law Associate (SCLA), Casualty Claim Law Associate (CCLA), Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations.
• Preferred: At least eight (8) years of commercial property/casualty claims handling experience with a U.S. commercial insurer, including experience with complex litigation of claims.
• Preferred: At least eight (8) years of litigation management experience.
• Preferred: Experience with Excess & Surplus Lines (E&S).

PHYSICAL DEMANDS

• Position is hybrid and requires the ability and the willingness to work in an IFG Companies office at least three (3) days per week if residing within a one-hour commuting distance.
• Physical demands are considered those of a climate-controlled office environment with minimal physical exertion.
• Position requires prolonged sitting, extensive utilization of computers and interactions with others in person and via phone.
• Position requires the ability and the willingness to travel when required to meet business needs.

SALARY AND BENEFITS

The salary range for this position is $110,000 to $120,000. Additionally, the position may be eligible to earn incentive compensation.

• medical
• dental
• vision
• 401(k)
• flexible spending
• short-term and long-term disability insurance
• life insurance
• paid parental leave
• vacation and other paid time off

WHY IFG COMPANIES

Founded in 1985, IFG Companies is one of the oldest privately held insurance groups in the United States. It combines a specialty-carrier focus with long-term stability and thinking, while promoting a culture of underwriting rigor, collaboration, strategic thinking, superior technology and strong producer partnerships.

EQUAL OPPORTUNITY

IFG Companies is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status or any other protected characteristic under applicable law.