Senior Complex Claims Specialist II

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 and colleagues in other locales. In this role, the claims professional investigates, evaluates, negotiates, and resolves complex litigated and non-litigated construction defect property damage and claims of high exposure and complexity. The role requires with significant experience and a focus on specialized claims in the area of construction defect involving complex coverage issues.

• Analyze coverage, identify coverage issues, and draft 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.
• Comply with deductible/self-insured retention recovery protocol.
• Meet and maintain all State licensing requirements at all times (see qualifications below).
• Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
• Serve as mentor for claims associates; provide technical advice.
• Assist management with administrative tasks as needed.
• Regular and predictable attendance.
• Other duties as assigned.

Qualifications

• Four (4) year College Degree, or commensurate experience and training.
• JD preferred, but not required.
• AIC, SCLA, CRIS or other similar industry designations preferred.
• Ten (10) or more years claims handling experience or equivalent experience.
• In-depth knowledge of the insurance industry, including legal and regulatory environments.
• Ability to travel, as required. (Generally, less than 15%.)
• 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