Claims Technical Specialist

This is a fully remote position, open to applicants in Texas.

📋 Description

• Manage first-party Property claims that are complex and of high severity.

• Supervise first-party Property claims processed by Third Party Administrator partners.

• Ensure adherence to claim handling protocols that include coverage, investigation, liability, damage assessment, and resolution.

• Offer technical guidance and direction to TPA claim handlers.

• Assess insurance contracts and promptly identify coverage issues.

• Maintain claim diaries to ensure progress towards resolution.

• Oversee and/or direct claim handling in line with regulatory requirements specific to jurisdiction.

• Advocate for the company's interests during claim market meetings.

• Engage proactively with internal business partners regarding significant losses and pertinent insights.

• Analyze and implement process enhancements aimed at improving customer service, technical proficiency, and operational efficiency.

• Contribute to the Property Claim Quality Assurance program.

⛳️ Requirements

• Familiarity with Commercial Property coverage forms.

• Experience in the FL and/or TX markets; multi-jurisdictional experience is a plus.

• Robust working knowledge of building damage estimation practices.

• Comprehension of the legal and regulatory landscape.

• Advanced negotiation capabilities, including alternative dispute resolution methods (Appraisal, Mediation, Arbitration).

• Willingness to travel.

• Excellent communication skills, both verbal and written.

• Capacity to review processes and identify areas for improvement.

• Proficient in using automated claims systems.

• Strong understanding and capability to utilize Microsoft Office applications.

• Possession of necessary adjuster license(s).

• Bachelor’s degree or equivalent experience required.

• At least 5 years of experience in Commercial Property claims.

• Additional experience in Personal Lines Property claims is preferred.

• Experience in liability claims is preferred.

• Experience in Litigation Management is preferred.

• Candidates must be authorized to work for any employer in the U.S.

• The employer is unable to sponsor or assume sponsorship of an employment Visa for this role.

🏝️ Benefits

• Competitive salary.

• Opportunities for professional growth and advancement.

• Medical insurance.

• Dental insurance.

• Vision insurance.

• Life insurance.

• Short-term disability coverage.

• Long-term disability coverage.

• Company matching of 100% on a 6% contribution 401(k) plan.

• Employee Assistance Plan.

• Health Savings Account.

• Flexible Spending Account.

• Health Reimbursement Account.

• Wellness program.