Claims Specialist Job at SAFEBUILT INSURANCE SERVICES LLC
**Must be legally authorized to work in the United States without employer sponsorship**
About Golden State Claims Adjusters
Golden State Claims Adjusters is committed to conducting business with integrity by upholding a set of guiding principles in all our client interactions. We are committed to acting in partnership with carrier underwriters, claims personnel, program managers and reinsurers. We are an ethical organization that endeavors to build trustworthy relationships with our partners. Here at Golden State, we strive to deliver superior customer service to all clients, including insureds, carriers, and program managers. Continuous growth and development are embedded in our culture, from claims management to customer service standards. We believe data is a powerful tool. An integral part of the service we provide us the accurate recording and retention of data for our clients.
Job Summary
The Senior Claim Specialist position at Golden State Claims Services reports to a Claims Supervisor or Claims Manager and is responsible for adjusting complex or high exposure construction defect claims for the program(s) to which the individual is assigned.
Position Responsibilities
Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives- Building and maintaining productive relationships with internal and external customers, including clients, underwriting and service teams, and agents
- Research applicable coverage for our insureds. Document coverage dates, limits, and restrictions
- Identify and resolve any potential coverage questions. Draft reservation of rights and coverage denials for review and approval by their Supervisor/Manager
- Investigate facts of the loss by securing statements and supporting documentation such as contracts, cost of repair estimates, expert reports, photos, correspondence, etc
- Document activities in writing within claim files
- Exercise judgment in applying legal liability to assigned claims and will have settlement authority up to their specific authority, which may vary from carrier to carrier
- Assign defense counsel to answer and defend lawsuits where appropriate. Monitor and direct defense counsel, independent adjusters, and experts
- Identify claims with potential exposure in excess of authority and advise their Supervisor/Manager
- Evaluate, set, or recommend reserves for each file they are handling
- Prepare written reports as dictated by company policy and procedures
- Handle claims within guidelines of the Fair Claims Practices 790.03
- Provide insureds, claimants, underwriters, and carriers with regular updates on status of file handling
- Discuss unique and complex files with Supervisor/Manager
Qualifications
10+ years of construction defect claims management experience- College degree or equivalent claims management experience required
- 10+ years litigation management experience preferred
- Must be licensed as a Qualified Claims Manager in the State of California and any other status as needed
- Proficient computer skills including Microsoft Outlook, Word and Excel
Competencies
Analytical skills – Able to structure and process qualitative and quantitative data and draw insightful conclusions from it. Exhibits a probing mind and achieves penetrating insights. Demonstrates a curious mindset.- Attention to detail – Does not let important details slip through the cracks or derail a project.
- Customer Focus – Is dedicated to meeting the expectations and requirements of internal and external customers.
- Efficiency – Able to produce significant output with minimal wasted effort.
- Honesty/integrity – Does not cut corners ethically. Earns trust and maintains confidences. Does what is right, not just what is politically expedient. Speaks plainly and truthfully.
- Oral communication – Speaks clearly and persuasively in positive or negative situations.
- Written communication – Edits work for spelling and grammar, presents numerical data effectively and is able to read and interpret written information.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation can be made to enable people with disabilities to perform the described essential functions.
While performing the duties of this job, the employee is regularly required to communicate effectively. Manual dexterity, arm, and upper body range of motion for use of a keyboard, mouse, and telephone for multiple concurrent hours throughout the day is required. The ability for sufficient vision is needed for use of a computer monitor. This position is moderately sedentary. Most hours in this role will be spent at a desk. There may be a need to occasionally reach over your head and bend down.
Work Environment
While performing the responsibilities of the job, these work environment characteristics are representative of the environment the job holder will encounter. Reasonable accommodations may be made to enable people with disabilities to perform the essential functions of the job.
This job operates in an office setting. This position requires frequent sitting in a stationary position.
Position Type and Expected Hours of Work
This is a full time 5-day work week position.
Pay and Benefits
The starting pay scale for this position is $90,000 - $110,000 annually. Actual starting pay will be based on factors such as skills, qualifications, training, and experience. In addition, the company offers comprehensive benefits including medical, dental and vision insurance, 401(k) plan with match, paid time off, and other benefits.
Travel
Some travel may be required for this position.
EEO Statement
Golden State Claims Adjusters believes in creating long-term relationships by being responsive and relevant and by consistently delivering value to our community of customers. Specifically, with our employees, we focus on attracting, developing, and retaining the best talent for our business, challenging our people, demonstrating a “can-do” attitude, and fostering a collaborative and mutually supportive environment.
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, gender, gender identity, sexual orientation, marital status, medical condition, genetic information, mental or physical disability, military or veteran status, or any other characteristic protected by local, state, or Federal law.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time, with or without notice.
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