Complex Claim Specialist job in Jacksonville, FL| Recruit Arrow
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Title
Complex Claim Specialist
Location : Florida, Jacksonville
Refer job # GBDF336993
 
Job Summary: Staffed in an office where the type of claims is highly complex. Conducts claims investigations, determines coverage and liability, and negotiates (settle, authorize or deny payment) to conclusion the claim within authority limits. Recognizes and investigates all cases involving subrogation, insurance fraud issues, and disposition of salvage. Ensures timely financial transactions, including reserving and review and payment of vendor bills. Handles litigation cases and attends arbitrations and mediations on assigned files. Role Education and Experience Requirements: Bachelor s degree or comparable, progressive work experience Experience in 3rd Party Construction Defect Claims Ability to attain required licensing within 3 - 6 months A minimum of 6 year s progressive experience in area of focus preferred (Focus on FL) AIC (Associate in Claims) or alternative designation as approved by management Anticipates situations and mitigates pro-actively Handles complex issues Strong listening and communication skills Must have good negotiation skills and a good understanding of litigation management. Have a good understanding of insurance accounting and good decision-making skills Due to the financial responsibilities of this position, all candidates will be subject to the credit check process. Our comprehensive list of benefits include: Medical, Dental and Vision (Day One Coverage) Paid Time Off 401(k) with Generous Company Match Pension Plan Incentive (Bonus) Plan Employee Recognition Programs Paid Holidays Company-Paid Disability and Life Insurance Tuition Reimbursement Flexible Spending Accounts for Health and Dependent Care Come learn why 100% of new hires are satisfied with the choice they made to join Main Street America. Visit ***and click on Careers to find out more. Contingency Recruiters : Please do not send resumes directly to any hiring manager within the MSA organization. If you would like to discuss this position, please contact the Staffing Department directly and NOT our managers. You must have a signed and current search agreement with the MSA Staffing Department before any resumes can be reviewed. Any resumes sent directly to MSA without a contract and specific work order in place for the position will be considered property of MSA. Thank you for your cooperation in this matter! Competencies: Role Competencies: Business Acumen - Knowledge, insight, and understanding of business concepts, tools, and processes that are needed for making sound decisions in the context of the company's business. Influencing and Negotiation - Gaining others support for ideas, proposals, projects, and solutions; achieving desired business results through effective negotiation. Analytical Thinking/Decision Making - Knowledge of tools and techniques for effective use of a broad range of factors, assumptions, frameworks and perspectives when solving problems. Manage Project Execution - Ability to plan, organize, monitor and control projects ensuring efficient utilization of technical and administrative resources. Relationship Building - Initiates, develops, maintains, and strengthens partnerships with others inside or outside the organization. Technical Competencies: Claims Investigation - Knowledge of how to gather necessary information to determine damage, liability, subrogation and other case-specific issues. Claims Knowledge - Knowledge of the full spectrum of activities, practices, tools, and considerations for managing the claims adjustment process. Coverage Evaluation - Knowledge of how to locate policy information and interpret policy language as it applies to a specific claim. Loss Assessment, Evaluation and Reserving - Knowledge of how to estimate the cost of a loss and to reserve that amount for eventual resolution. Negotiation and Settlement - Knowledge of principles, techniques and practices of negotiation and settlement of claims. Litigation Management - Knowledge of substantive and procedural law and ability to apply that knowledge to legal negotiation and formal litigation. Executive Search Firms and Staffing Agencies: Please be advised that (The MSA Group) only accepts resumes from agencies with which we have an executed contract for a particular position. Accordingly, The MSA Group is not obligated to pay referral fees to any agency that is not party to an agreement with The MSA Group. Any unsolicited resumes, including those submitted directly or indirectly to hiring managers, are deemed to be the property of The MSA Group. Are you a returning applicant?
 
 
 
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