Complex Claims Specialist - General Liability
About The Position
The Complex Claims Specialist is a senior level individual contributor position. This person adjudicates assigned claims within given authority and provides operational support to the claims team. This role involves strategizing and maximizing early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims, demonstrating proficient knowledge regarding coverage triggers and time on risk allocation, and drafting and reviewing coverage analyses. The specialist will manage and partner with local defense counsel while monitoring litigation, driving litigation best practices to manage deployment and utilization of defense counsel, and continually assessing exposures and adequacy of claim reserves. Additionally, the role requires proficient knowledge regarding theories of liability and state-specific negligence standards, accurate documentation of claim files, and proficient knowledge of ACV vs RCV property damage assessments. The specialist will attend mediations and/or settlement conferences where appropriate, identify suspected fraudulent claims and track with the special investigations unit, and actively participate in the Claims/UW/Actuarial feedback loop. Keeping senior claims management informed of key issues and liaising directly on a daily basis with insureds and brokers are also key aspects of the position.
Requirements
- 10+ years of claims handling experience within General Liability & Bodily Injury
- A JD from an ABA accredited law school may be considered as a supplement to claims handling experience
- Proven ability to positively affect highest severity claims outcomes through investigation, negotiation and effectively leading litigation
- Expert knowledge of coverage within the team’s specialty or focus
- Expert knowledge of litigation process and negotiation skills
- Proven track record of mentoring others
- Excellent verbal and written communication skills
- Advanced analytical skills
Nice To Haves
- B.A./B.S degree from an accredited College or University preferred
Responsibilities
- Strategize and maximize early settlement opportunities for Construction Defect and 3rd Party Property Damage Claims
- Demonstrate proficient knowledge regarding coverage triggers and time on risk allocation
- Draft and Review coverage analyses
- Manage/Partner with local defense counsel while monitoring litigation
- Drive litigation best practices to manage deployment and utilization of defense counsel
- Continually assess exposures and adequacy of claim reserves
- Demonstrate proficient knowledge regarding theories of liability and state specific negligence standards
- Accurately document claim files with all relevant correspondence, documentation, and file notes
- Demonstrate proficient knowledge of ACV vs RCV property damage assessments
- Attend mediations and/or settlement conferences where appropriate
- Identify suspected fraudulent claims and tracks with special investigations unit
- Actively participate in the Claims/UW/Actuarial feedback loop
- Keep senior claims management adequately and appropriately informed of key issues
- Liaison directly on a daily basis with insureds and brokers
Benefits
- Competitive salary and bonus (based on personal & company performance)
- 401(k) with competitive company matching
- Comprehensive health insurance, vision, dental and FSA plans (medical, limited purpose, and dependent care)
- Company paid group term life, short-term disability and long-term disability coverage
- 24 Paid time off days, 2 Hiscox Days, 10 paid holidays, and ability to purchase 5 PTO days
- Paid parental leave
- 4 week paid sabbatical after every 5 years of service
- Financial Adoption Assistance and Medical Travel Reimbursement Programs
- Annual reimbursement up to $600 for health club membership or fees associated with any fitness program
- Company paid subscription to Headspace to support employees’ mental health and wellbeing
- Dynamic, creative and values-driven culture
- Modern and open office spaces, complimentary drinks
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What This Job Offers
Job Type
Full-time
Career Level
Senior
