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Complex Claim Specialist / Construction Defect 3rd Party in Jacksonville, FL at The Main Street America Group

Date Posted: 3/28/2018

Job Snapshot

Job Description

Great opportunities await you at The Main Street America Group.  The Main Street America Group is a billion-dollar super-regional property & casualty insurance company, providing products in 36 states.  

We have a Complex Claims Specialist opening in our Construction Defect unit.  The position can be located in either our Jacksonville, FL or Richmond, Va offices.  Telecommuting may be available for experienced adjusters..

Job Summary: 

Assigned highly complex, large loss claims. 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 Claims preferred.
  • 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
  • Generous Paid Time Off Benefits
  • Employee Wellness Program (Health and Fitness)
  • Perks at Work Program (discounts on travel, entertainment, electronics and apparel)
  • Work from Home program after 6 months 
  • Incentive (Bonus) Plan
  • Employee Recognition Programs
  • Paid Holidays
  • Company-Paid Disability and Life Insurance
  • Tuition Reimbursement
  • Flexible Spending Accounts for Health and Dependent Care

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.

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