Sr. Technical Claims Specialist

Sr. Technical Claims SpecialistThe Sr. Technical Claims Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion.

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 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 descriptionsDemonstrate collaborative efforts in managing the litigation process with outside defense counselRecognition and evaluation of potential exposures under the policy to establish timely, adequate reservesConduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant 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 descriptionsFamiliarity with Contractual Risk Transfer concepts and anti-indemnity lawsRecognition and evaluation of potential exposures under the policy to establish timely, adequate reservesManage the claim authorization process and negotiate claims with significant complexityNegotiation and settlement skills.May be deposed or testify in claims negotiations or trialsAbility to follow detailed procedures and ensure accuracy in documentation and data.Excellent written and verbal communications; with ability to listen well.Uphold a high standard of customer service.Ability to use a win-win approach to resolve controversy.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.Strong computer proficiency necessary.Multi-jurisdictional experience preferred.Qualifications15+ years of multi-line experience including high severity bodily injury claims.Must possess a current Texas claims adjuster license; additional licenses a plus.Litigation experience requiredEducation RequirementBachelor's Degree required or equivalent work experience.Additional Company DetailsWe do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.Sponsorship DetailsSponsorship not Offered for this Role