Senior Technical Claims Specialist, Construction Complex

The Senior Technical Claims Specialist determines coverage, investigates complex and highly complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert. The role is within the Construction Vertical, handling bodily injury and discreet property damage claims. The role does not handle Construction Defect losses.

There is a strong preference for the selected candidate to live within 50-mile radius of one of the listed hub offices (Boston, MA; Westborough, MA; Plano, TX; Suwanee, GA; Indianapolis, IN; Hoffman Estates, IL; Lake Oswego, OR; Las Vegas, NV, Chandler, AZ or Weatogue, CT). This policy is subject to change. We will consider a remote candidate if you do not live within 50-miles of one of these offices.

Responsibilities:

• As the claim’s owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
• Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
• Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations.
• Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit.
• Responsible for managing the practices and billing activities of outside counsel.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.).
• Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues.
• May analyze the impact upon claims policies and procedures and advises Claims.
• Management so appropriate action can be taken where required.
• Participates in special projects.

• Bachelor’s degree and 5 to 7 years claims adjusting experience.
• Advanced knowledge of commercial casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment.
• Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly.
• Construction Liability and/or Commercial General Liability claims experience preferred.