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Church Mutual Insurance Company, S.I. · 2 days ago

Senior Technical Claim Specialist - Casualty

United States

Full-time

Remote

Senior Level, Lead/Staff

15+ years exp

Church Mutual Insurance Company, S.I. is a leading provider in the insurance industry, and they are seeking a Senior Technical Claim Specialist - Casualty. The role involves managing large and complex claim files, conducting detailed investigations, and mentoring team members while ensuring compliance with applicable laws.

AssociationGovernmentNon Profit

Responsibilities

Responsible for handling large, complex claim files, including litigated matters, catastrophic claims, umbrella claims, punitive damage claims, severe injury, long duration indemnity, permanent total disability, structural building damage, multiple location damage, including business income exposure and other extensive exposure claims, in accordance with applicable state and federal laws

Set reserves and settle claims within level of authority

Direct work of defense attorney

Actively share knowledge with team members, contribute to training programs, and mentor other claim representatives

Stay abreast of current and emerging complex litigation claim settlement issues, trends, court decisions, plaintiff bar activities, and partner with key CM Group stakeholders to share information and analyze potential impacts on our products and chosen markets

Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined

Reporting to senior management and underwriters on claims trends and developments

Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage

Investigating claims promptly and thoroughly, including interviewing all involved parties

Managing claims litigation

Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process

Preparing reports for file documentation

Applying creative solutions which result in the best financial outcome

Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost-effective manner

Processing mail and prioritizing workload

Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.)

Having an appreciation and passion for strong claim management

Qualification

AIC designationCPCU designationAdvanced knowledge of policy terminologyAdvanced negotiation skillsLegal educationAdvanced knowledge of recoveriesAdvanced knowledge of reinsurance contractsConstruction defect claims experienceEffective planningOrganizationCommunication skills

Required

Bachelor's degree preferred. A combination of equivalent education and/or experience may be considered in lieu of a degree

Evidence of continuing education in the insurance industry is required

Typically, fifteen or more years in technical insurance claim roles with increasing responsibilities is required

Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements

Advanced knowledge of recoveries such as subrogation, reinsurance, apportionment, and deductibles

Advanced knowledge of reinsurance contracts, workers' compensation pools, second injury funds, etc

Advanced negotiation skills

Strong listening, verbal, and written communication skills

Advanced knowledge of policy terminology, legal principles involving insurance, and emerging industry trends

Effective planning and organization skills

Ability to travel to inspect loss sites, attend mediations, depositions, etc

A deep knowledge of construction defect claims typically achieved through a minimum of: Seven years of experience adjudicating construction defect claims with exposure of $100,000 or more

Reviewing incoming tenders and evaluating additional insured status under the policy, as well as assessing risk transfer opportunities

Having an appreciation and passion for strong claim management