Claims Technical Specialist - Construction Defect (Remote)

Selective Insurance Company of America
1d$96Remote

About The Position

Selective Insurance is seeking a Claims Technical Specialist-Construction Defect for this remote position. This role will investigate, negotiate and conclude by settlement or denial complex and challenging claims. The individual in this position will also ensure claims are processed within company policies, procedures, and individual's prescribed authority with exceptional standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.

Requirements

  • Must be able to handle litigation files from start to finish. 80% to 90% of CD files are in suit or expected to be litigated.
  • Must understand and interpret policy forms and endorsements that may limit or exclude coverage.
  • Must understand and interpret Named Insured role and obligations to others (GC, sub, sub-sub, etc.).
  • Must be able to determine Additional Insured obligations, if any.
  • Must be able to evaluate contractual obligations and their effect on coverage.
  • Ability to author Coverage Position Letters (ROR, Disclaimers, etc.) to submit for approval by management.
  • Ability to recognize coverage issues that require evaluation by the internal coverage team and/or outside coverage counsel.
  • Recognition of potential early settlement opportunities and willingness to recommend business decisions to resolve.
  • College degree preferred.
  • Prefer 7-10 years claims experience.
  • 5+ years with handling construction defect claims that involve complex coverage analysis and moderate to high loss evaluations.

Responsibilities

  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
  • Process incoming calls and correspondence from insureds, claimants and agents regarding questions or problems associated with claims. Interact with underwriters and agents on claim resolution.
  • Evaluate, negotiate and settle both non-litigated and litigated claims within delegated authority. Handle litigation files from start to finish.
  • Update ACS on a continual basis to accurately reflect status of each assigned fie and to initiate percentage of negligence on the part of the insured to determine "chargeablity".
  • Receive and approve expenses incurred to investigate, process, and handle a claim.
  • Prepare check requisitions for all loss and expense payments.
  • Explore salvage and subrogation potential on all claims. Prepare for and participate in claims review and settlement conferences.
  • Close claim by issuing check or denial and securing appropriate releases.
  • Must be able to drive an automobile to travel within territory. Car travel represents approximately 0-10% of employee’s time and a valid driver’s license.

Benefits

  • Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

501-1,000 employees

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