Senior Claims Specialist - Construction Defect

Company Details

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

The Company is an equal employment opportunity employer.

https://www.vela-ins.com/

Responsibilities

Must be capable of working under limited supervision and working with a remote manager. In this role, the claims professional investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of high exposure and complexity with significant experience/Focus on specialized claims in the area of construction defect with complex coverage and litigated claims.

• Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.

• Investigate and evaluate liability.

• Investigate and evaluate damages.

• Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.

• Establish timely reserves within authority and re-evaluate throughout the life of the claim.

• Maintain up-to-date, appropriate file documentation and written file notes.

• Maintain an active diary and productive file inventory.

• Timely completion of all required large loss reporting.

• Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.

• Proactively control the work product and expense of outside vendors.

• Develop and maintain positive customer relationships and provide superior customer service.

• Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.

• Ability to Work with designated assigned accounts.

• Recognize and investigate fraud.

Qualifications

• Four (4) year College Degree, or commensurate experience and training.

• AIC, SCLA, CRIS or other similar industry designations preferred.

• Eight (8) or more years claims handling experience or equivalent experience.

• In-depth knowledge of the insurance industry, including legal and regulatory environments.

• A strong functional and developing knowledge of substantive laws and legal procedures.

• Applicable adjusters license(s) to include CA, CT, DE, FL, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY.

#LI-FL1 #LI-HYBRID

Additional Company Details

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role Responsibilities Must be capable of working under limited supervision and working with a remote manager. In this role, the claims professional investigates, evaluates, negotiates, and resolves litigated and non-litigated property damage, personal and advertising injury, and claims of high exposure and complexity with significant experience/Focus on specialized claims in the area of construction defect with complex coverage and litigated claims.

• Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.

• Investigate and evaluate liability.

• Investigate and evaluate damages.

• Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.

• Establish timely reserves within authority and re-evaluate throughout the life of the claim.

• Maintain up-to-date, appropriate file documentation and written file notes.

• Maintain an active diary and productive file inventory.

• Timely completion of all required large loss reporting.

• Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.

• Proactively control the work product and expense of outside vendors.

• Develop and maintain positive customer relationships and provide superior customer service.

• Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.

• Ability to Work with designated assigned accounts.

• Recognize and investigate fraud.