Claims Technical Specialist jobs in United States
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Core Specialty Insurance Holdings, Inc. · 4 hours ago

Claims Technical Specialist

Core Specialty Insurance Holdings, Inc. is a key player in the insurance sector, and they are seeking a Claims Technical Specialist to manage high severity Property claims. This role involves ensuring compliance with claim handling guidelines, providing oversight to claim handlers, and contributing to process improvements within the Property Division.

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Responsibilities

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

Qualification

Commercial Property coverageBuilding damage estimatingAdvanced negotiation skillsFLTX market experienceAutomated claim systemAdjuster licenseProcess improvementMicrosoft Office proficiencyCommunication skills

Required

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
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
Bachelor's degree or equivalent experience
Minimum 5 years Commercial Property claims experience

Preferred

Experience in FL and/or TX market(s); multi-jurisdictional experience preferred
Additional Personal Lines Property claim experience preferred
Liability claim experience preferred
Litigation Management preferred

Benefits

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
A wellness program

Company

Core Specialty Insurance Holdings, Inc.

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Core Specialty, through its subsidiary insurers, offers a diversified range of property, casualty, and marine insurance products for small to mid-sized businesses.

Funding

Current Stage
Late Stage

Leadership Team

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Joseph Consolino
Founder, President and Chief Executive Officer
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Evan Cabat
Chief Financial Officer
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Company data provided by crunchbase