Complex Claims Specialist

Complex Claims Specialist

Upland Capital Group, Inc. is an AM Best rated “A-” VIII specialty property/casualty insurer headquartered in Dallas, Texas. Through its wholly owned insurance carrier, Upland Specialty Insurance Company, the company markets, underwrites and services specialty insurance products in select markets to include excess transportation, construction casualty, excess casualty, primary general liability, excess public entity, professional liability errors and omissions as well as excess cyber liability.  

We focus on “old school” underwriting as a craft, add “new school” analytics and technology, and encourage a gritty, growth mindset among people called “we entrepreneurs.”

As an Excess and Surplus (E&S) carrier, we face unique and interesting challenges every day. We are seeking a Complex Claims Specialist to join our amazing team.

Primary Function:

Under limited supervision and within given authority, adjudicates to resolution Property & Casualty Claims of variable severity, complexity, and exposure in primary and excess lines of business that will include: Construction, Specialty lines, Commercial General Liability, Commercial Auto, Professional Liability. The role may also include: Construction Defect, Cyber Liability, and Public Entity liability. This position will direct handle claims and also oversee work performed by Upland’s Third -Party Claims Administrator.

Duties and Responsibilities:

• Directly handles claims and oversees Third-Party Administrator’s work product to ensure Upland guidelines are followed
• Reviews policy language and draft coverage position letters
• Reviews and leads investigation of claims within given inventory
• Reviews and leads litigation management efforts
• Reviews and recommends reserves
• Presents claims for reserve and/or settlement authority
• Works closely with Underwriting and Actuarial teams
• Provides guidance and feedback for more junior claims personnel
• Presents to Sr. Leadership as necessary
• Travel 10-15% to offsite meetings, seminars, mediations, trials, etc., as necessary 

Experience, Education, Special Skills Required:

• Bachelor’s Degree and 5-8 years of experience
• Home state adjuster license or equivalent
• New York and California Adjuster license
• New York Labor Law claims experience
• Experience with primary and excess lines
• Experience with standard and non-standard coverage forms
• Experience with nationwide claims handling and across multiple business functions
• Excellent written and oral communication skills
• Excellent organizational skills
• Ability to work independently
• Ability to think critically, strategically, and out of the box

Disclosures:

Pay Estimate: $ 155,000 - $165,000

Other compensation: annual incentive program

Benefits: health insurance including FSA and HSA options and free access to Teladoc, vision, dental, disability and life insurance, parental leave, responsible time off (unlimited vacation days without an accrual system), paid sick time as required by law, 401(k), tuition reimbursement and employee assistance program.