STD Claims Examiner II making accurate claim decisions for Short Term Disability claims. Collaborating with team members in a hybrid work environment from South Portland, ME.
About the role
- Claims Specialist managing complex construction defect claims for an insurance company. Engaging in proactive communication and providing superior claim management services.
Responsibilities
- Demonstrate the ability to independently and timely manage all aspects of the most complex, high-value claims
- Provide proactive communications to customers and business partners in the management and resolution of claims
- Respond to inquiries from customers and provide superior customer service
- Review and analyze multiple complex policies and coverage parts (including general liability, contractors professional liability and wrap-up policies)
- Write and articulate clear, concise and accurate coverage positions
- Conduct investigations regarding claims and/or lawsuits
- Effectively manage litigation and counsel, inclusive of litigation planning, budgeting, and proactively positioning claims for resolution
- Develop complex coverage, liability and damage assessments and persuasively articulate them to leadership
- Provide detailed impactful recommendations to leadership
- Pursue and finalize coverage and liability risk transfer against other liable parties and insurance carriers
- Conduct complex negotiations and articulate coverage/liability positions
- Attend mediations and trials as necessary
- Proactively manage accurate expense, reserve and financial transactions
- Consistently maintain up to date claims metrics
Requirements
- 5+ years construction defect claim handling experience
- Experience handling complex construction defect coverage and liability issues on general liability and WRAP policies for general contractor, developer, owner, and construction manager claims
- Experience in handling affirmative/defensive risk transfer, including tendering and responding to additional insured and contractual indemnity tenders
- Excellent verbal and written communication skills
- Excellent analytical and critical thinking ability
- Ability to present in a roundtable setting with a well-reasoned and analytical evaluation
- Experience in the creation and delivery of presentations
- Superior customer service skills and active listening skills
- Proven track record of prioritizing and managing multiple responsibilities simultaneously
- Proven track record of effective negotiations/settlement of high-value construction defect liability claims
- Demonstrated negotiation and conflict resolution skills
- Proficiency with MS Office, especially Word and Excel
- Active Property & Casualty State Insurance Adjuster license
Benefits
- short-term or annual bonuses
- long-term incentives
- on-the-spot recognition
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