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Frank Winston Crum Insurance · 4 hours ago

General Liability Technical Claims Specialist

United States

Full-time

Remote

Senior Level, Lead/Staff

$80K/yr - $100K/yr

10+ years exp

Frank Winston Crum Insurance is a recognized Top Workplace, expanding its services across the United States. The Sr. GL Technical Claims Specialist will adjust complex general liability claims, ensuring timely resolutions while collaborating with various stakeholders and mentoring team members.

Insurance

Responsibilities

Investigates, evaluates and brings to timely resolution an inventory of the most complex general liability claims in the company’s inventory of which most are litigated and may involve large property damage, catastrophic bodily injury and some sub set of construction defect type claims in accordance with established claim handling standards and applicable state regulations and laws

Understands general liability coverage issues and handles complex coverage issues including issuing reservation of rights letters and denial of coverage letters

Understands and interprets construction contracts and applies risk transfer when appropriate

Negotiates the duty to defend and indemnify with liable insurers when appropriate

Manages litigation proactively and works well with defense counsel and insureds to reach optimal outcomes

Demonstrates a strong knowledge and understanding of proper utilization of experts, independent medical reviews or exams, evaluation of liability and damages regarding complex bodily injuries

Demonstrates a strong knowledge and understanding resolution techniques such as high low agreements, proposals for settlement, offers of judgement to obtain optimal outcomes

Demonstrates an understanding of how to evaluate and respond timely to time limit demands in various states such as Texas, Florida and Georgia, consumer complaints and Department of Insurance Complaints often filed and associated with general liability claims

Demonstrates a strong knowledge of residential and commercial building construction, repair processes, and understands how to review and analyze the accuracy of damage reports prepared by contractors, engineers, and appraisers in order to assess property damage

Demonstrates strong negotiations skills in alternative dispute resolution forums such as mediations and assists in finding early resolutions in order to obtain optimal outcomes when appropriate

Demonstrates an understanding of reserving requirements and philosophies and is able to maintain appropriate reserves on all assigned claim files

Prepares reports detailing claim exposure, status, payments and reserves

Engages in timely and effective communication with the appropriate parties and documents the claim file throughout the claim adjustment process which includes maintaining timely diaries on each claim

Assists, trains and mentor’s lessor skilled team members in conjunction with management

Assists managers with identifying trends and opportunities for improvement in processes and procedures and claim resolution to improve overall outcomes

Collaborates with other departments such underwriting on projects or as needed or performs other duties as assigned

Qualification

General Liability ClaimsClaims Adjusting ExperienceNegotiation SkillsPublic Adjuster LicenseConstruction KnowledgeCommunication SkillsTeam MentoringProblem Solving

Required

High school diploma or equivalent is required

Ten (10) years of general liability claims adjusting experience with exposure of $100,000 or more

Must hold Proper Public adjuster licenses in Florida and/or Texas and other states with the ability to obtain additional licenses as needed

Preferred

Bachelor's degree in a related field or equivalent experience preferred

Juris Doctorate a plus

Benefits

Health Insurance is zero dollar paycheck cost for employee's coverage and only two-hundred-forty-five dollars a month for family!

Dental and Vision Insurance

Short Term Disability and Term Life Insurance at no cost to the employee

Long Term Disability and Voluntary Term Life Insurance

Supplemental insurance plans such as Accidental, Critical Illness, Hospital Indemnity, Legal Services and Pet Insurance

401(k) Retirement Plan where FrankCrum matches 100% of the first 4% the employee contributes, and the employee is immediately vested in the employer match

Employee Assistance Program at no cost to the employee

Flexible Spending Accounts for Medical and Dependent Care Reimbursement

Health Savings Account funded by FrankCrum

Paid time off and holiday pay

Education reimbursement

PTO cash out

Tickets at Work

Access to the Corporate America Family Credit Union

Employee and client referral bonus programs