Senior Claims Specialist - Construction Defect - National Claim Services

ESSENTIAL DUTIES AND RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Evaluate commercial Construction Defect claims, reporting forms and cancellations and initiate necessary corrections to ensure accuracy of dates, coverage, signature, commission, premium, attachments, etc.
2. Authenticate all relevant activity on assigned files and makes recommendation for additional activity as appropriate.
3. Manage all claim documentation.
4. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.
5. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.
6. Assess eligibility status of denied claims.
7. Anticipate and meets all customer needs (both internal and external).
8. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.
9. Process all departmental claims in a timely manner according to company policy.
10. Facilitate the training of new employees in the department.
11. Provide supervision to Claims Assistants.
12. Perform other duties as assigned.

QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Bachelor's degree with a concentration in business or equivalent work experience
2. Three years of Construction Defect Claims handling experience and commercial and multi-line knowledge
3. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations
4. Ability to make independent decisions following CRC guidelines with minimal or no supervision
5. Good organizational, time management, and detail skills
6. Extensive knowledge of insurance and CRC processes
7. Ability to maintain a high level of tact and professionalism
8. Good leadership skills to influence all departmental employees in a positive manner
9. Possess strong interpersonal skills
10. Strong verbal and written communication skills
11. Strong computer and office skills
12. Ability to work extended hours when necessary

Preferred Qualifications:
1. Adjusting experience

General Description of Available Benefits for Eligible Employees of TIH:
All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance Holdings, LP (TIH) offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment and tax-preferred savings accounts, along with other voluntary benefits. All regularly scheduled teammates (not temporary or contingent workers), regardless of the number of scheduled hours, can contribute to a 401(k) savings plan and you become eligible for Company matching contributions after one year of service and attainment of age 21. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays.