Senior Claims Specialist: Complex Coverage & Settlements

Insurance Information Institute, Inc.; Chapel Hill (NC); Hybrid; 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

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.