Senior Claims Specialist

Integrated Specialty Coverages, LLC

9d•$82,000 - $103,000

About The Position

The Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor, Claims Manager or Senior Claims Manager. The chief duty of the Senior Claims Specialist is to adjust complex or high exposure construction defect claims for the program(s) to which they are assigned.

Requirements

5+ years of construction defect claims management experience preferred
College degree or equivalent claims management experience required
10+ years litigation management experience preferred
Must hold an individual adjusting license for a designated home State and be willing to secure additional required adjusting licenses as needed
Proficient computer skills including Microsoft Outlook, Word and Excel

Responsibilities

Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
Building and maintaining productive relationships with internal and external customers, including clients, underwriting and service teams, and agents
Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions
Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager
Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc
Document activities in writing within claim files
Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier
Assign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and experts
Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager
Evaluate, set, or recommend reserves for each file they are handling
Prepare written reports as dictated by company policy and procedures
Handle claims within guidelines of the Fair Claims Practices 790.03
Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling
Discuss unique and complex files with Supervisor/Manager

Benefits

Employee Ownership Program - every eligible employee shares in the financial rewards that grow when the company grows
Professional development opportunities
Owner Referral Program
Work from home reimbursement for remote/hybrid roles
Canary emergency financial assistance program
Comprehensive medical, dental, vision
Life/AD&D Insurance
Confidential, Employee Assistance Program
Health Savings Account, includes company contribution
Short-term disability
Voluntary benefits - supplemental accident, critical illness, hospital insurance
Employee discounts
401(k) Plan with company match contribution
Addition Wealth Financial Wellness Program
Various Time Off Programs
11 company paid holidays