Claim Technical Specialist (Commerical Insurance)

IFG Companies - Scottsdale, AZ

Full-time - Mid Level

Scottsdale, AZ

Insurance Carriers and Related Activities

About the position

The primary role of the Claim Technical Specialist is to investigate, evaluate, negotiate and settle serious injury/damage claims involving moderate to large exposures in multiple jurisdictions, applying coverage, laws and regulations accordingly; reporting to management and reinsurers within necessary timelines and guidelines.

Responsibilities

• Promptly review new losses and determine initial plans of action.
• Analyze coverage as it relates to the facts and allegations of claims; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
• Initiate contact with policyholder and claimant(s) to confirm notice of loss description and determine the scope of the investigation, as appropriate.
• When appropriate, assign and instruct independent adjusting firms to conduct needed investigative tasks; manage and direct activity of independent adjusting firms in any continued investigation of claims.
• Report losses timely to management, reinsurers and update each as necessary.
• Evaluate claims as investigations develop and establish and adjust reserves as warranted.
• Review expense bills for appropriateness, accuracy and adherence to Company billing guidelines and process payments.
• Recognize, notify and pursue culpable parties and seek contributions from such parties.
• Identify and ensure subrogation efforts are undertaken against responsible parties.
• Direct counsel in the defense of litigated claims in accordance with established litigation plans and legal budgets.
• Negotiation of claims to settlement, attend mediations, settlement conferences and trials.
• Mentor Claim Examiner trainees and new Claim Examiners.
• Other duties as required.

Requirements

• Bachelor's Degree from an accredited college/university.
• Minimum of 4 years of property/casualty claims handling as a full-time exempt employee of a U.S. based property/casualty insurance company.
• Substantial commercial general liability experience.
• A valid adjuster license in designated home state and the ability to obtain additional non-residential adjuster licenses.

Nice-to-haves

• 5+ years of commercial property/casualty claims handling experience, including experience with complex litigation of claims.
• 3+ years of litigation management experience.
• Experience with Excess & Surplus Lines (E&S).
• Senior Claim Law Associate (SCLA), Casualty Claim Law Associate (CCLA), Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designations.

Benefits

• Competitive compensation and benefits, including medical, dental, vision, 401(k), flexible spending, short-term and long-term disability insurance, life insurance, long-term care, paid parental leave, vacation and other paid time off.