Sr. Technical Claims Specialist

Sr. Technical Claims Specialist

The Sr. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interpretation, liability investigation and evaluation and negotiation of claims consistent with company policies and state regulations.

• Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant external parties.
• Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution.
• Demonstrate understanding of medical terms, medical treatment and injury descriptions
• Demonstrate collaborative efforts in managing the litigation process with outside defense counsel
• Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves
• Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant external parties.
• Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution.
• Demonstrate understanding of medical terms, medical treatment and injury descriptions
• Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws
• Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves
• Manage the claim authorization process and negotiate claims with significant complexity
• Negotiation and settlement skills.
• May be deposed or testify in claims negotiations or trials
• Ability to follow detailed procedures and ensure accuracy in documentation and data.
• Excellent written and verbal communications; with ability to listen well.
• Uphold a high standard of customer service.
• Ability to use a win-win approach to resolve controversy.
• Recognizes differences in opinions and misunderstandings and encourages open discussion while working towards resolution.
• Accepts individual responsibility for all actions taken. Holds self and others accountable to the organization and stakeholders.
• Strong computer proficiency necessary.
• Multi-jurisdictional experience preferred.

Qualifications

• 15+ years of multi-line experience including high severity bodily injury claims.
• Must possess a current Texas claims adjuster license; additional licenses a plus.
• Litigation experience required

Education Requirement

• Bachelor's Degree required or equivalent work experience.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role