Claims Specialist 1
Walbec Group · Waukesha, WI · 1 mo ago
FinanceFull-time
About the role
Under the direction of the Claims Manager, the Claims Specialist 1 is primarily responsible for handling Owned Property, Equipment, and Builder's Risk claims across multiple jurisdictions. The role serves as a key business partner responsible for investigation, documentation, reporting, follow‑up, and resolution of claims. This professional‑level position requires application of legal, analytical, and claims‑management principles, with a strong focus on organization, detail, sound judgment, and meeting established timelines.
Responsibilities
- Investigates Owned Property, Equipment, Builder's Risk, and other assigned claims of simple to moderate complexity.
- Conducts thorough claim and incident investigations.
- Communicates regularly with Safety, Project Managers, field personnel, and other internal departments to obtain claim and incident information and supporting documentation.
- Documents and maintains complete and accurate claim files, including associated costs, by entering claim and incident information into the Risk Management Information System, Origami.
- Establishes timely and adequate reserves in accordance with the organization’s reserving philosophy and methodology.
- Evaluates questions involving insurance coverage, liability, damages, contractual responsibility, and claim value.
- Reviews applicable insurance policies, contracts, deductibles, coverage provisions, and project documentation.
- Secures necessary official reports, claim forms, estimates, invoices, photographs, receipts, and other supporting documentation.
- Reviews bills, estimates, invoices, and receipts for accuracy, reasonableness, and relevance to the claim.
- Coordinates site inspections when necessary.
- Works with internal and external parties to develop appropriate repair, replacement, mitigation, or resolution strategies.
- Monitors claim activity and follows up with the appropriate parties to ensure claims progress toward timely resolution.
- Identifies potential recovery opportunities and investigates and pursues recovery when appropriate.
- Documents recovery efforts, including subrogation and other applicable sources of reimbursement.
- Maintains appropriate follow‑up regarding outstanding documentation, payments, reimbursements, and recovery efforts.
- Applies sound judgment and established claims‑handling principles when evaluating coverage, liability, damages, and recovery opportunities.
- Maintains confidentiality of claim, employee, project, and company information.
- Provides cross‑coverage for Workers' Compensation, General Liability, Auto Liability, and Auto Physical Damage claims, as necessary.
Requirements
- Bachelor’s degree or a minimum of three years of equivalent relevant work experience.
- Prior experience handling property, equipment, Builder's Risk, or multi‑line claims preferred.
- Working knowledge of insurance coverage, claims investigation, reserving, damages evaluation, and recovery practices.
- Ability to review and apply relevant insurance policy and contractual provisions.
- Experience with Risk Management Information Systems, Origami, preferred.
- Strong proficiency in Microsoft Office applications.
Skills
- Strong analytical, organizational, and problem‑solving skills.
- Strong written and verbal communication skills.
- Strong interpersonal skills and the ability to work effectively with internal and external business partners.
- Ability to manage multiple priorities and demanding assignments in a fast‑paced environment.
- Ability to exercise sound judgment, maintain established timelines, and meet applicable deadlines.
- Ability to work independently while appropriately escalating complex coverage, liability, contractual, or claim‑handling issues.
- High level of discipline and a strong sense of responsibility and accountability.
- Consistent attention to detail and commitment to maintaining complete and accurate claim documentation.
- Valid driver’s license and ability to meet applicable company insurability standards.
Benefits
- Competitive compensation aligned with industry standards.
- Employer‑paid medical plan with HRA contribution (eligibility requirements).
- Dental, vision, and life insurance.
- Flex Spending Account (FSA).
- Employee Assistance Program (EAP).
- Company‑paid short and long‑term disability coverage.
- Paid parental leave.
- Generous PTO and paid holidays.
- Profit sharing.
- Robust Walbec training and professional development program.
- Ongoing career growth opportunities.
Schedule
In‑office 5 days a week.