Senior Claims Specialist

The Senior Claims Specialist position is remote and offers an annual salary range of $83,000 - $104,000 USD, depending on skills, qualifications, experience, and relevant training. Benefits include fully remote work, comprehensive medical, dental, and vision insurance, a 401(k) retirement plan with company matching, a Health Savings Account (HSA) with company contribution, life and AD&D insurance, short-term disability benefits, an Employee Assistance Program, paid time off programs, and 11 company-paid holidays.

Accountabilities

• Manage complex and high-exposure construction defect claims from initial investigation through resolution, ensuring accurate evaluation and timely handling.
• Review policy coverage, identify potential coverage issues, and prepare recommendations, reservation of rights, and denial documentation when required.
• Investigate claims by gathering statements, contracts, repair estimates, expert reports, photographs, correspondence, and other supporting documentation.
• Maintain detailed claim file documentation, including activity notes, evaluations, reserves, and written reports in accordance with established procedures.
• Apply legal liability principles and exercise settlement authority within assigned limits while identifying claims requiring escalation.
• Cook up coordination with defense counsel, independent adjusters, experts, insured parties, agents, and internal stakeholders to drive effective claim resolutions.
• Build strong relationships with customers, underwriting teams, service teams, and other partners through proactive communication and collaboration.
• Monitor claim exposure, recommend reserves, provide regular status updates, and discuss complex matters with leadership when needed.
• Ensure all claim handling activities align with applicable regulations, including Fair Claims Practices requirements.

Requirements

• 5+ years of experience managing construction defect claims, with strong knowledge of claims investigation and resolution processes.
• 10+ years of litigation management experience preferred.
• College degree or equivalent professional claims management experience required.
• Active individual adjusting license in a designated home state, with willingness to obtain additional licenses as needed.
• Strong understanding of insurance coverage analysis, liability evaluation, claim documentation, and settlement practices.
• Experience working with defense counsel, experts, independent adjusters, insureds, and carriers.
• Strong analytical, organizational, and decision-making skills with the ability to manage complex files independently.
• Excellent written and verbal communication skills, with the ability to prepare clear reports and recommendations.
• Proficiency with Microsoft Outlook, Word, Excel, and other computer-based claims management tools.
• A collaborative mindset with strong professionalism, accountability, and commitment to delivering high-quality service.

Benefits

• Annual salary range of $83,000 - $104,000 USD, depending on skills, qualifications, experience, and relevant training.
• Fully remote work opportunity with work-from-home reimbursement support.
• Comprehensive medical, dental, and vision insurance coverage.
• 401(k) retirement plan with company matching contributions.
• Health Savings Account (HSA) with company contribution.
• Life and AD&D insurance coverage.
• Short-term disability benefits.
• An Employee Assistance Program and confidential support resources.
• Paid time off programs and 11 company-paid holidays.
• Employee ownership program providing eligible employees with financial rewards linked to company growth.
• Professional development opportunities and career growth support.
• Referral program and employee discount benefits.
• Additional voluntary benefits, including accident, critical illness, and hospital insurance options.
• Financial wellness resources and support programs.