Senior Claims Specialist

Isccareers; United States; On-site; USD 83,000 - 104,000; Full time

Benefits offered by this job

Employee Ownership Program

Professional development opportunities

Work from home reimbursement

Comprehensive medical, dental, vision

Life/AD&D Insurance

401(k) Plan with company match

Job summary

Golden State Claims Services is seeking a Senior Claim Specialist to adjust complex and high exposure construction defect claims. The role reports to a Claims Supervisor, Manager or Senior Manager and focuses on applying liability, documenting coverage, and coordinating defense counsel and experts.

The successful candidate will manage reserves, provide updates to insureds and underwriters, and ensure adherence to claims practices.

Qualifications

• 5+ years of construction defect claims management experience preferred.
• College degree or equivalent claims management experience required.
• 10+ years litigation management experience preferred.
• Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed.
• Proficient computer skills including Microsoft Outlook, Word and Excel.

Responsibilities

• Adjust complex or high exposure construction defect claims.
• Build and maintain productive relationships with internal and external customers.
• Research applicable coverage and document coverage dates, limits, and restrictions.
• Identify and resolve coverage questions and draft reservation of rights and coverage denials.
• Investigate facts of the loss and document activities in claim files.
• Exercise judgment in applying legal liability and settlements within authority.
• Assign defense counsel and monitor experts and others involved in defense.
• Identify claims with potential exposure beyond authority and inform supervisor.

Skills

Construction defect claims management

Teamwork and collaboration

Education

College degree or equivalent claims management experience

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Job Summary

Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Senior Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.

Position Responsibilities

• Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
• Build and maintain productive relationships with internal and external customers, including clients, underwriting and service teams, and agents
• Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions
• Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager
• Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc
• Document activities in writing within claim files
• Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier
• Assign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and experts
• Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager
• Evaluate, set, or recommend reserves for each file they are handling
• Prepare written reports as dictated by company policy and procedures
• Handle claims within guidelines of the Fair Claims Practices 790.03
• Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling
• Discuss unique and complex files with Supervisor/Manager

Minimum Qualifications

• 5+ years of construction defect claims management experience preferred
• College degree or equivalent claims management experience required
• 10+ years litigation management experience preferred
• Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed
• Proficient computer skills including Microsoft Outlook, Word and Excel

National Pay Range: $83,000—$104,000 USD

Benefits of Working at ISC

• Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows
• Professional development opportunities
• Owner Referral Program
• Work from home reimbursement for remote/hybrid roles
• Canary emergency financial assistance program
• Comprehensive medical, dental, vision
• Life/AD&D Insurance
• Confidential Employee Assistance Program
• Health Savings Account, includes company contribution
• Short-term disability
• Voluntary benefits - supplemental accident, critical illness, hospital insurance
• Employee discounts
• 401(k) Plan with company match contribution
• Addition Wealth Financial Wellness Program
• Various Time Off Programs
• 11 company paid holidays

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law.

Must be legally authorized to work in the United States.

ISC participates in the Federal E-Verify program.