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The Jonus Group is a leading insurance staffing firm specializing in providing top-tier talent for the insurance industry. We are currently seeking a dedicated and experienced Workers Compensation Claims Adjuster to join a reputable insurance client's Workers Compensation Claims Department.
Senior Claims Specialist
Location
United States
Posted
110 days ago
Salary
0
No structured requirement data.
Job Description
Senior Claims Specialist
The Jonus Group
Job Description Senior Claims Specialist – GLPD & Construction Defect Job Summary Seeking a highly skilled and experienced Senior Claims Specialist to join a team. This role focuses on the investigation, evaluation, negotiation, and resolution of complex, high-exposure General Liability Property Damage (GLPD) and Construction Defect claims. The position involves managing both litigated and non-litigated matters with significant severity and coverage complexity. Compensation Package - Competitive base salary up to $120,000 (commensurate with experience) - Comprehensive benefits package, including health, dental, and vision insurance - Paid time off and holidays - Opportunities for professional development and continuing education Responsibilities - Investigate, evaluate, and resolve complex GLPD and Construction Defect claims. - Conduct detailed policy coverage analysis, identify issues, and prepare coverage correspondence for supervisory review. - Investigate liability and damages on high-exposure claims. - Manage litigation by assigning approved panel counsel, establishing litigation plans and budgets, and coordinating case strategy. - Establish timely and accurate reserves and adjust as claims develop. - Maintain complete and current file documentation and ensure effective diary management. - Complete required large loss and internal reporting in a timely manner. - Negotiate settlements within granted authority and participate in mediations, settlement conferences, and alternative dispute resolution (ADR) proceedings. - Manage and control work product and expenses of outside vendors and defense counsel. - Identify opportunities for risk transfer, co-insurance, contribution, and subrogation. - Handle designated accounts and maintain strong customer relationships. - Ensure compliance with all regulatory requirements, internal guidelines, and best practices. - Support deductible and self-insured retention recovery protocols. - Maintain required state licensing and fulfill continuing education requirements. - Perform other duties as assigned. Qualifications/Requirements - Bachelor’s degree or equivalent combination of education and experience. - Industry designations such as AIC, SCLA, CRIS, or similar are preferred. - 3-5 years of experience in Construction Defect and General Liability Property Damage claims. - Proven track record of managing litigated, high-severity claims. - Strong analytical, investigative, and negotiation skills. - Excellent written and verbal communication abilities. - In-depth knowledge of insurance coverage, legal procedures, and regulatory requirements. - Ability to work independently in a remote environment while maintaining productivity and high-quality work standards. #LI-RG1
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