Senior Claims Specialist

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

📋 Description

• Foster a collaborative atmosphere by consistently exhibiting teamwork, high motivation, positive behavior, and a strong commitment to achieving goals and objectives.

• Develop and sustain effective relationships with both internal and external stakeholders, including clients, underwriting and service teams, and agents.

• Investigate the relevant coverage for our insured clients. Record coverage dates, limits, and any restrictions.

• Recognize and address potential coverage inquiries. Prepare reservation of rights and coverage denial documents for review and approval by the Supervisor/Manager.

• Examine the details of the loss by obtaining statements and supporting documents, such as contracts, repair cost estimates, expert evaluations, photographs, and correspondence.

• Maintain thorough documentation of activities within claim files.

• Apply judgment in determining legal liability for assigned claims and exercise settlement authority within defined limits, which may differ among carriers.

• Assign defense attorneys to respond to and manage lawsuits when appropriate. Oversee and guide defense counsel, independent adjusters, and experts.

• Identify claims with potential exposure that exceeds authority and inform the Supervisor/Manager.

• Assess, set, or recommend reserves for each claim file being managed.

• Compile written reports in accordance with company policies and procedures.

• Manage claims in compliance with the Fair Claims Practices 790.03 regulations.

• Provide insured clients, claimants, underwriters, and carriers with regular updates on the status of claim processing.

• Consult with Supervisor/Manager regarding unique and complex claims.

⛳️ Requirements

• A minimum of 5 years of experience in construction defect claims management is preferred.

• A college degree or equivalent claims management experience is required.

• Over 10 years of litigation management experience is preferred.

• Must possess an individual adjusting license for a designated home state and be willing to obtain any additional required adjusting licenses as necessary.

• Strong proficiency in computer skills, including Microsoft Outlook, Word, and Excel.

🏝️ Benefits

• Employee Ownership Program - every eligible employee benefits from the financial rewards that increase as the company grows.

• Opportunities for professional development.

• Owner Referral Program.

• Reimbursement for work-from-home expenses for remote/hybrid positions.

• Canary emergency financial assistance program.

• Comprehensive medical, dental, and vision coverage.

• Life/AD&D Insurance.

• Confidential Employee Assistance Program.

• Health Savings Account with company contribution.

• Short-term disability coverage.

• Optional benefits including supplemental accident, critical illness, and hospital insurance.

• Employee discounts.

• 401(k) Plan with company matching contributions.

• Additional Wealth Financial Wellness Program.

• Various time-off programs.

• 11 company-paid holidays.