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Claim Technical Specialist (Commerical Insurance)

International Financial Group LTD
Chapel Hill, NC Full Time
POSTED ON 1/22/2025
AVAILABLE BEFORE 4/21/2025

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POSITION TITLE : Claim Technical Specialist

DEPARTMENT : Claims

REPORTS TO : Regional Claim Manager

EEO CATEGORY : Professional

DIRECT REPORTS : None

FLSA STATUS : Exempt

LOCATIONS : Alpharetta (GA), Chapel Hill (NC), Chicago (IL), Hartford (CT), Scottsdale (AZ)

POSITION SUMMARY / OBJECTIVES

The primary role of the Claim Technical Specialist is to investigate, evaluate, negotiate and settle serious injury / damage claims involving moderate to large exposures in multiple jurisdictions, applying coverage, laws and regulations accordingly; reporting to management and reinsurers within necessary timelines and guidelines.

POSITION RESPONSIBILITIES INCLUDING

  • Promptly review new losses and determine initial plans of action.
  • Analyze coverage as it relates to the facts and allegations of claims; prepare Reservation of Rights and Declination of Coverage letters, as applicable.
  • Initiate contact with policyholder and claimant(s) to confirm notice of loss description and determine the scope of the investigation, as appropriate.
  • When appropriate, assign and instruct independent adjusting firms to conduct needed investigative tasks; manage and direct activity of independent adjusting firms in any continued investigation of claims.
  • Report losses timely to management, reinsurers and update each as necessary.
  • Evaluate claims as investigations develop and establish and adjust reserves as warranted.
  • Review expense bills for appropriateness, accuracy and adherence to Company billing guidelines and process payments.
  • Recognize, notify and pursue culpable parties and seek contributions from such parties.
  • Identify and ensure subrogation efforts are undertaken against responsible parties.
  • Direct counsel in the defense of litigated claims in accordance with established litigation plans and legal budgets.
  • Negotiation of claims to settlement, attend mediations, settlement conferences and trials.
  • Mentor Claim Examiner trainees and new Claim Examiners.
  • Other duties as required.

KNOWLEDGE / SKILLS / ABILITIES INCLUDING

  • Demonstrated experience and ability to deal with significant / complex coverage matters, including contractual risk transfer and additional insured issues.
  • Excellent written and oral communication skills.
  • Exhibit negotiation, critical thinking and problem-solving capabilities.
  • Outstanding customer service, attention to detail and multi-tasking skills.
  • Strong computer skills, including the ability to work effectively in the claims management system and strong knowledge of Microsoft applications (e,g., Outlook, Word, Excel).
  • Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority.
  • Ability to travel as business requires (including for mediations, settlement conferences and trials).
  • EDUCATION / EXPERIENCE / CERTIFICATIONS

  • Required : Bachelor's Degree from an accredited college / university.
  • Required : Minimum of 4 years of property / casualty claims handling as a full-time exempt employee of a U.S. based property / casualty insurance company.
  • Required : Substantial commercial general liability experience.
  • Highly Preferred : 5 years of commercial property / casualty claims handling experience, including experience with complex litigation of claims.
  • Highly Preferred : 3 years of litigation management experience.
  • Preferred : Experience with Excess & Surplus Lines (E&S).
  • A Plus : Senior Claim Law Associate (SCLA), Casualty Claim Law Associate (CCLA), Associate in Claims (AIC) and / or Chartered Property Casualty Underwriter (CPCU) designations.
  • Required : A valid adjuster license in designated home state and the ability to obtain additional non-residential adjuster licenses.
  • PHYSICAL DEMANDS

  • Physical demands are considered to be that of a climate-controlled office environment, with minimal physical exertion.
  • Position is hybrid and requires the ability and the willingness to work in an IFG Companies' office at least three (3) days per week.
  • Position requires prolonged sitting, extensive utilization of computers and interactions with others in person and via phone.
  • Position requires the ability and the willingness to travel as the business needs.
  • BENEFITS

  • IFG Companies offers competitive compensation and benefits, including medical, dental, vision, 401(k), flexible spending, short-term and long-term disability insurance, life insurance, long-term care, paid parental leave, vacation and other paid time off.
  • IFG Companies is an equal opportunity employer committed to a diverse workforce.

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