Senior Claims Specialist

Senior Claims Specialist

Location: Lakewood, Colorado, United States
Work Arrangement: Hybrid (with required business travel to office locations and customer sites)

The Senior Claims Specialist provides key support in the handling and management of claims across multiple lines of coverage, with a primary focus on Liability claims (Commercial Auto and General Liability). This role is responsible for evaluating coverage, liability, legal exposure, and damages, and for investigating, negotiating, and resolving assigned claims in a timely manner in accordance with internal standards and regulatory requirements.

Assistance with and or handling select first party Commercial Property, Auto, and Inland Marine claims may be required as needed. The role also delivers a high level of customer service to internal and external business partners.

• Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage DISCLAIMERS to address claim coverage issues
• Review and evaluate claim reserves to ensure reserves appropriately reflect potential exposure
• Investigate claims to evaluate coverage and legal issues, including meeting with insureds and witnesses and obtaining statements, records, and other evidentiary materials
• Maintain thorough documentation and reporting of investigation and claims handling activities
• Negotiate and resolve claims with claimants, insureds, and counsel, including participation in mediation, arbitration, or other court supervised settlement efforts, and prepare appropriate resolution documents
• Maintain working knowledge of regulatory and jurisdictional requirements
• Provide direction to and manage defense counsel, independent adjusters, and other third parties retained to assist with specific claims
• Identify and pursue risk transfer opportunities when applicable, including responding to claims for defense and indemnity and pursuing recovery from other parties on behalf of insureds
• Perform other duties as assigned

Minimum of 5 years of experience in the following areas:

• Coverage Review: Interpreting policies, agreements and contracts, reservation of rights, and DISCLAIMERS
• Claims Investigation: Obtaining statements and authorizations; retaining qualified experts and counsel
• Claims Administration: Reporting, reserve reviews, and compliance knowledge of laws and procedures
• Claims Settlement: Preparing disclaimer letters, releases, and proof of loss statements; participation in legal proceedings when necessary

Additional requirements:

• Strong knowledge of coverage, negligence principles, investigation practices, and negotiation techniques
• Ability to obtain and maintain state adjusting licenses as needed
• Service oriented, with ability to provide prompt, efficient, and effective claims and customer service
• Strong verbal and written communication skills with customers, claimants, opposing counsel, defense counsel, and members of the public
• Ability to manage and organize multiple priorities and tasks simultaneously
• Excellent judgment, negotiation, and decision making skills
• Ability to travel to off site locations and overnight as business needs require
• Experience handling liability claims across western states, including Montana, Wyoming, Colorado, New Mexico, Idaho, Utah, Arizona, California, Washington, and Oregon

• Competitive salary and benefits package
• Generous paid time off program, including 12 paid holidays annually
• Health, dental, and vision insurance
• Company paid life insurance (2x annual earnings)
• 401(k) savings and profit sharing plan
• Education and training opportunities
• Insurance designations encouraged with financial assistance available
• Daily two hour flexible start and end window for a 7.5 hour workday
• Employee fitness program