
Senior Claims Specialist – National Claim Services
Posted Aug 24

Posted Aug 24
This is a fully remote position, open to applicants in Florida, +5 more states.
• Conduct investigations, assessments, and resolutions for moderately complex commercial general liability claims related to construction defects.
• Analyze policy coverage and assess exposure based on contractual obligations and legal precedents.
• Engage in settlement negotiations with claimants, legal representatives, and third-party entities.
• Maintain accurate internal records and comprehensive claim-file documentation.
• Work collaboratively with underwriting, legal, and finance teams to ensure alignment and risk management.
• Recognize and escalate potential risks related to fraud or litigation.
• Foster open communication and clarify coverage decisions to provide exceptional customer service.
• A Bachelor’s degree in Insurance, Business Administration, or a related field, or equivalent professional experience.
• 3–5 years of experience in managing insurance claims within the property and casualty or specialty lines sectors.
• Proficiency in interpreting policy language and performing coverage analyses.
• Demonstrated experience in claim negotiations.
• Possession of a state adjuster license where mandated, or the capability to obtain it within a designated timeframe.
• Strong analytical and investigative abilities.
• Proficient in claims management systems and Microsoft Office Suite.
• Exceptional negotiation and conflict resolution skills.
• Knowledge of state insurance regulations and compliance standards.
• Fluency in the English language is required.
• Comprehensive medical, dental, vision, life, disability, and AD&D insurance.
• Tax-advantaged savings accounts.
• 401(k) plan with company matching contributions.
• Paid company holidays.
• Vacation and sick leave.
• Parental leave for new parents.
• Restricted stock units available for eligible positions.
• Deferred compensation plan offered for eligible positions.
HealthEdge
Zurich Insurance
HealthEdge
Sedgwick
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