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AI Summary

The Claims Technical Specialist is responsible for handling high-severity first-party property claims and providing technical oversight to third-party administrators. They ensure compliance with claim handling guidelines, evaluate insurance contracts, and contribute to continuous process improvements within the Property Division.

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A key member of the Property Claim team, responsible for direct handling of first party Property claims of high severity and complexity. Responsibilities may also include oversight of first party Property claims handled by Third Party Administrator partner(s).


Key Accountabilities/Deliverables:

  • Ensure compliance with established claim handling guidelines regarding coverage, investigation, liability, damages evaluation and resolution
  • Provide technical oversight and direction to TPA claim handlers
  • Appropriately evaluate insurance contracts, including timely identification of coverage issues
  • Effectively manage claim diaries to maintain progress toward claim resolution
  • Provide oversight and/or direct claim handling in accordance with jurisdictional regulatory requirements
  • Effectively represent the company’s interest in claim market meetings
  • Provide timely and proactive communication to internal business partners regarding large losses and relevant insights
  • Contribute to continuous improvement of the Property Division by evaluating and implementing processes to improve customer service, technical excellence and/or efficiency of the operation.
  • Participate in the Property Claim Quality Assurance program



Technical Knowledge and Understanding:
 

  • Knowledge of Commercial Property coverage forms
  • Experience in FL and/or TX market(s); multi-jurisdictional experience preferred
  • Strong working knowledge of building damage estimating practices
  • Understanding of legal and regulatory environment
  • Advanced negotiation skills, including alternative dispute resolution (Appraisal, Mediation, Arbitration)
  • Ability to travel
  • Strong communication skills (verbal and written)
  • Ability to review processes and determine opportunities for improvement
  • Proficient in use of automated claim system
  • Solid understanding and ability to utilize Microsoft Office applications
  • Adjuster license(s) as required



Experience:

  • Bachelor’s degree or equivalent experience
  • Minimum 5 years Commercial Property claims experience
  • Additional Personal Lines Property claim experience preferred
  • Liability claim experience preferred
  • Litigation Management preferred





Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa for this position.




#LI-Remote


 

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At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement.  We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program

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