Claims Specialist 2

Walbec Group•Waukesha, WI

12d•Onsite

About The Position

Under the direction of the Claims Manager, the Claims Specialist 2 independently manages General Liability claims from initial notice through resolution, including litigated matters. The position serves as a key business partner and handles claim investigation, liability and coverage analysis, reserving, recovery opportunities, reporting, negotiation, and settlement. It requires sound judgment, strong organizational and analytical skills, attention to detail, and the ability to manage competing priorities and deadlines in a fast-paced environment. Additional responsibilities may be assigned based on business needs. The role is in-office five days a week and may provide backup claim-handling support for Workers’ Compensation, Auto Liability, Auto Physical Damage, and Property claims as business needs require.

Requirements

Strong knowledge of claim principles, investigation techniques, reserving practices, liability evaluation, and claim resolution.
Analytical ability and sound judgment regarding liability, damages, coverage, contractual risk transfer, and settlement strategy.
Working knowledge of contract, insurance, construction, and medical terminology, as well as relevant legal and court procedures.
Ability to organize and prioritize multiple responsibilities while meeting deadlines and providing timely follow-up.
Strong written and verbal communication, negotiation, interpersonal, and documentation skills.
High level of discipline, accountability, discretion, and attention to detail.
Ability to work independently and collaboratively in a fast-paced environment.
Strong proficiency in Microsoft Office applications.
Valid driver’s license and ability to meet the organization’s insurability requirements.

Nice To Haves

Bachelor’s degree in risk management, insurance, business, legal studies, or a related field; equivalent relevant claim experience will be considered.
A minimum of three years of progressively responsible liability claim-handling experience.
Experience handling construction-related general liability claims and litigated matters.
Experience using risk management information systems, including Origami or STARS.

Responsibilities

Independently investigate and manage general liability claims of moderate to high complexity, including litigated matters.
Conduct timely claim and incident investigations by obtaining statements, photographs, contracts, official reports, claim forms, invoices, receipts, and other relevant documentation.
Communicate with claimants and other involved parties to obtain information and explain the claim process.
Communicate regularly with Safety, project management, field operations, Legal, insurance companies, brokers, and other internal and external stakeholders.
Review contracts, indemnification provisions, insurance requirements, tenders, and other relevant claim documents.
Evaluate liability, damages, coverage issues, and claim value, and document the basis for claim-handling decisions.
Develop and maintain claim strategies, action plans, diaries, and resolution recommendations.
Establish and update timely, adequate reserves in accordance with the organization’s reserving philosophy and methodology.
Maintain complete and accurate claim files in the Origami Risk Management Information System, including claim notes, incident data, reserves, and supporting documentation.
Compile claim reports for management review addressing liability, coverage, denial, settlement valuation, authority requests, and defense strategy.
Negotiate settlements within assigned authority and obtain additional authority when required.
Coordinate with defense counsel and assist with litigation, mediation, and arbitration while monitoring case strategy, legal expenses, and significant developments.
Identify, investigate, and pursue subrogation, contractual recovery, and other recovery opportunities.
Identify and preserve relevant evidence and assist with litigation holds and spoliation-related matters.
Create and assist with claim, incident, and safety reporting in Origami.
Recognize significant claim developments and promptly escalate high-exposure, complex, or sensitive matters to the Claims Manager.
Provide backup claim-handling support for Workers’ Compensation, Auto Liability, Auto Physical Damage, and Property claims as business needs require.

Benefits

Competitive compensation aligned with industry standards
Employer-paid medical plan with HRA contribution, subject to eligibility requirements
Dental insurance
Vision insurance
Life insurance
Flexible Spending Account (FSA)
Employee Assistance Program (EAP)
Company-paid short- and long-term disability coverage
Paid parental leave
Generous paid time off
Paid holidays
Profit sharing
Walbec training and professional development program
Ongoing career growth opportunities