Claims Technical Specialist

A well-established regional provider of third-party claims administration and risk services, operating as part of a larger insurance organization, is seeking a Claims Technical Specialist. This role is responsible for overseeing complex casualty claims that may include litigation, subrogation, and indemnity components, with a focus on achieving fair, timely, and cost-efficient outcomes.

The position involves advanced oversight of litigated matters, managing claim-related expenses, and supporting settlement strategy and negotiations. In addition, this role acts as a subject matter expert and mentor, contributing to the training and professional development of claims staff while collaborating with leadership to deliver strong results for self-insured clients. The specialist also assists senior leadership in coaching and developing employees in claims management practices.

Location: Candidates should ideally be based in the Harrisburg, PA or New Jersey region.

Key Competencies

• Business insight
• Negotiation expertise
• Results-driven mindset
• Effective time and priority management
• Sound decision-making

Core Responsibilities

• Follow client-specific handling guidelines for self-insured accounts
• Mentor and train claims staff to enhance litigation handling skills and overall quality
• Manage a portfolio of high-exposure, complex claims
• Support leadership with training initiatives and ongoing staff development
• Guide claims teams on litigation strategy, including coverage interpretation, counsel assignment, and settlement negotiations
• Build and maintain productive relationships with attorneys and external partners to achieve efficient claim resolution
• Utilize internal systems effectively and adapt to new tools and technologies
• Control litigation costs through proactive and strategic case management
• Prepare claim summaries, participate in client discussions, and present key updates
• Develop and deliver annual stewardship reports
• Complete required excess reporting in accordance with policy provisions

Additional Duties

• Analyze and interpret data to address business challenges
• Work with moderately complex datasets to support decision-making
• Stay informed on legal and regulatory developments impacting claims
• Pursue ongoing professional development related to litigation handling
• Participate in client presentations for renewals and business development

Qualifications

Education / Credentials

• Bachelor's degree or equivalent experience preferred
• Insurance-related certifications (e.g., Associate in Claims) are a plus
• Adjuster license required or willingness to obtain

Experience

• At least 5 years in casualty claims, with a strong emphasis on litigation

Skills & Knowledge

• Strong verbal and written communication
• Excellent interpersonal and organizational abilities
• High attention to detail and ability to work independently
• Proficiency in Microsoft Office and general computer systems
• Solid understanding of tort law, insurance coverage, and claims regulations
• Strong negotiation capabilities

Work Requirements

• Primarily sedentary with occasional movement around the office
• Ability to perform computer-based work and use office technology
• Strong communication skills across multiple platforms
• Capability to present information to groups
• Reliable attendance and schedule adherence
• Valid driver's license and ability to travel, including overnight when needed