Senior Claims Representative/Claims Specialist

Found in: Appcast US C2 - 2 weeks ago


Tulsa, United States Mid-Continent Group Full time

We are adding an experienced Senior Claims Representative/Claims Specialist to our diverse claims team. The position will focus on adjusting construction defect losses nationwide and include complex litigated claims. A successful candidate will be able to demonstrate excellent writing, analytical, communication, and organizational skills. The preferred candidate will work from one of our downtown corporate locations in Tulsa, Oklahoma or Cincinnati, Ohio on a hybrid work schedule. Remote opportunities will be considered.


Essential Job Functions and Responsibilities:


  • Manage an inventory of claims of significant size, complexity, or for a specific line of business. Investigate and maintain claims:
  • Review and evaluate coverage and liability.
  • Secure necessary information (i.e.: reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims.
  • Work toward the resolution of claims files, and attend arbitrations, mediations, depositions, or trials as necessary.
  • Affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
  • Convey the most complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties maintaining a professional demeanor in all situations.
  • Ensure that claims payments are issued in a timely and accurate manner.
  • Ensure compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements.
  • Obtain and maintain appropriate licensure in applicable venues.
  • Serve as the technical expert on a product(s) and/or line of business.
  • Evaluate and make recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business.
  • Plan for and ensure that performance targets are met.
  • Provide technical advice to team and other functional areas.
  • Interact with underwriting and marketing regarding claims trend issues.
  • Perform other duties as assigned.


Job Requirements:


  • Generally, 5+ years of experience handling small to medium size construction defect losses and litigation.
  • Bachelor’s degree or equivalent experience is required.


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