Berkley Oil & Gas (a Berkley Company) · 6 hours ago
Technical Claims Specialist
Houston, TX
Full-time
Onsite
Mid, Senior Level
$90K/yr - $140K/yr
7+ years expBerkley Oil & Gas is an insurance underwriting manager providing specialized property and casualty products for the energy sector. The Technical Claims Specialist will be responsible for managing and resolving various types of claims, including commercial liability and workers' compensation, while ensuring compliance with company policies and state regulations.
Financial ServicesInsuranceRisk Management
No H1B
Responsibilities
The Technical Claims Specialist position will be responsible for handling, negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion
This position may also handle worker’s compensation claims
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 internal and 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
Recognition and evaluation of potential damages related to injuries
Manage the claim authorization process
Conduct complete investigation of losses through appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence
Evaluate compensability and exposure; identify subrogation opportunities or suspicious claims
Prepare timely, concise reports and state filings as required by the jurisdiction
Promptly establish and maintain accurate reserves
Adhere to state regulatory compliance requirements
Verify, analyze, and correctly apply coverage
Develop strategy and negotiate claims to a timely conclusion, properly applying state compliance and company policies and procedures
Develop a resolution plan (e.g. pay, deny, dispute) based upon analysis of the facts, defenses, compensability, and statutory/case law
Keep policyholders, underwriting and agents advised of file status and other matters as required
Participation in presentations, meetings, or visits to agents, policyholders, prospective accounts and other groups related to claims resolution, service or technical issues
Successfully complete relevant continuing education as required
Qualification
Required
Minimum of 7 years of multi-line experience
Must possess a current Texas claims adjuster licenses; additional licenses a plus
Ability to follow detailed procedures and ensure accuracy in documentation and data
Excellent written and verbal communications; with ability to listen well
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
Excellent organizational skills; ability to prioritize workload
Ability to think critically and solve problems, including the ability to interpret related documentation
Strong negotiation skills leading to best claim outcomes
Demonstrate proficiency in computer programs, such as Microsoft Word, Outlook and Excel
Bachelor's Degree required or equivalent work experience
Preferred
Multi-jurisdictional experience preferred
Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws
Benefits
Eligible to participate in annual discretionary bonus.
Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
Company
Berkley Oil & Gas (a Berkley Company)
Berkley Oil & Gas, a Berkley Company, is an energy insurance provider that is committed to providing innovative insurance products and services to upstream oil and gas customers.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Stephen P. Macdonough
Chief Financial Officer
Eric Castillo
Chief Operating Officer
Company data provided by crunchbase