Field Claims Specialist - Large Loss

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Field Claims Specialist - Large Loss
The candidate evaluates and resolves serious exposure, large loss claims requiring investigation, liability evaluation and negotiation. Handles all assigned claims promptly and effectively, with little direction and oversight, which may include complicated and catastrophic losses. Makes decisions within delegated authority, recommends settlement values in the disposition of claims as outlined in company policies and procedures. Accurately pays claims based on policy provisions, state mandates and/or fee schedules. Determines proper policy coverages and applies standard methodologies to conclude assigned cases according to company guidelines. Adheres to high standards of professional conduct while delivering outstanding service. Opens, closes and adjusts reserves according to company practices to ensure reserve adequacy. Maintains knowledge of court decisions that may affect the claim's function; current principles and practices; innovations; and policy changes and modifications. May be required to maintain knowledge of other functions within assigned subject area. This may require attending various seminars or training sessions. Maintains current knowledge of local industry repair procedures and local market pricing. Mentors and provides leadership to less experienced claims associates. Provides one-on-one training and assists with training/presentations as assigned by claims management. Creates and analyzes severe incident reports, reinsurance reports and other information to corporate office, claims management and underwriting. Partners with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities. Assist general counsel to prepares files for suit, trial or subrogation. Consults claims staff and defense counsel for discovery processes and lawsuit file/trial strategy on case-specific issues. Initiates and conducts follow-ups through proficient use of the claims and other related business systems. Delivers an outstanding customer service experience to all internal, external, current and prospective the firm customers. May perform other responsibilities as assigned . Undergraduate degree or equivalent experience is preferred. Advanced degrees in law or related field is preferred. Successful completion of required claims certification schools/courses is required. Should have 5+ years of experience handling property claims, insurance processing or field claims adjusting. Should preferably have 3-5 years of insurance field/property claims handling or adjusting experience. Solid experience with Xactimate is a plus. Experience handling large loss claims is preferred. Construction background/experience - Residential, Roofing, Remodeling, etc. is needed. Professional development such as IIA or CPCU is preferred. State licensing is required.

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