General Liability Technical Claims Specialist

Frank Winston Crum Insurance • Clearwater, FL

110d • $80,000 - $100,000

About The Position

We are eager to announce a Sr. GL Technical Claims Specialist position filled with many exciting opportunities! This job contributes to the mission of FrankCrum by adjusting the most complex general liability claims in the company’s inventory and assisting in establishing the best and most cost-effective strategy for handling this claim type. Investigates, evaluates and brings to timely resolution an inventory of the most complex general liability claims in the company’s inventory of which most are litigated and may involve large property damage, catastrophic bodily injury and some sub set of construction defect type claims in accordance with established claim handling standards and applicable state regulations and laws. Understands general liability coverage issues and handles complex coverage issues including issuing reservation of rights letters and denial of coverage letters. Understands and interprets construction contracts and applies risk transfer when appropriate. Negotiates the duty to defend and indemnify with liable insurers when appropriate. Manages litigation proactively and works well with defense counsel and insureds to reach optimal outcomes. Demonstrates a strong knowledge and understanding of proper utilization of experts, independent medical reviews or exams, evaluation of liability and damages regarding complex bodily injuries. Demonstrates a strong knowledge and understanding resolution techniques such as high low agreements, proposals for settlement, offers of judgement to obtain optimal outcomes. Demonstrates an understanding of how to evaluate and respond timely to time limit demands in various states such as Texas, Florida and Georgia, consumer complaints and Department of Insurance Complaints often filed and associated with general liability claims. Demonstrates a strong knowledge of residential and commercial building construction, repair processes, and understands how to review and analyze the accuracy of damage reports prepared by contractors, engineers, and appraisers in order to assess property damage. Demonstrates strong negotiations skills in alternative dispute resolution forums such as mediations and assists in finding early resolutions in order to obtain optimal outcomes when appropriate. Demonstrates an understanding of reserving requirements and philosophies and is able to maintain appropriate reserves on all assigned claim files. Prepares reports detailing claim exposure, status, payments and reserves. Engages in timely and effective communication with the appropriate parties and documents the claim file throughout the claim adjustment process which includes maintaining timely diaries on each claim. Assists, trains and mentor’s lessor skilled team members in conjunction with management. Assists managers with identifying trends and opportunities for improvement in processes and procedures and claim resolution to improve overall outcomes. Collaborates with other departments such underwriting on projects or as needed or performs other duties as assigned.

Requirements

• Understanding of commercial lines products and general liability claims handling.
• Bachelor’s degree in a related field or equivalent experience preferred.
• High school diploma or equivalent is required.
• Ten (10) years of general liability claims adjusting experience with exposure of $100,000 or more.
• Proper Public adjuster licenses in Florida and/or Texas and other states.

Nice To Haves

• Juris Doctorate.

Responsibilities

• Investigates, evaluates and brings to timely resolution complex general liability claims.
• Handles complex coverage issues including issuing reservation of rights letters and denial of coverage letters.
• Interprets construction contracts and applies risk transfer when appropriate.
• Negotiates the duty to defend and indemnify with liable insurers.
• Manages litigation proactively and collaborates with defense counsel and insureds.
• Utilizes experts and independent medical reviews for complex bodily injuries.
• Employs resolution techniques such as high low agreements and proposals for settlement.
• Evaluates and responds to time limit demands and consumer complaints.
• Reviews and analyzes damage reports prepared by contractors and engineers.
• Negotiates in alternative dispute resolution forums such as mediations.
• Maintains appropriate reserves on all assigned claim files.
• Prepares reports detailing claim exposure, status, payments and reserves.
• Engages in effective communication and documents the claim file.
• Assists, trains and mentors less skilled team members.
• Identifies trends and opportunities for improvement in processes.
• Collaborates with other departments on projects.

Benefits

• Health Insurance with zero dollar paycheck cost for employee's coverage.
• Dental and Vision Insurance.
• Short Term Disability and Term Life Insurance at no cost to the employee.
• Long Term Disability and Voluntary Term Life Insurance.
• Supplemental insurance plans such as Accidental, Critical Illness, Hospital Indemnity, Legal Services and Pet Insurance.
• 401(k) Retirement Plan with 100% match of the first 4% contributed.
• Employee Assistance Program at no cost to the employee.
• Flexible Spending Accounts for Medical and Dependent Care Reimbursement.
• Health Savings Account funded by FrankCrum.
• Paid time off and holiday pay.
• Education reimbursement up to $5,250 tax free per calendar year.
• PTO cash out.
• Tickets at Work.
• Access to the Corporate America Family Credit Union.
• Employee and client referral bonus programs.
• Paid volunteer time.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree
• Number of Employees: 51-100 employees