Claims Specialist

Description

The Best Teams are Created and Maintained Here.

Work Schedule: 5 Days Onsite in Blue Bell, PA

No Agency Resumes At This Time

Job Summary

• The Specialist, Claims – Property Damage is a key member of the Risk Management team responsible for the direct handling of designated in-house claims with some oversight of Third-Party Administrator (TPA) handled claims from intake through resolution. The role develops and executes investigation, settlement, and recovery strategies; coordinates internal resources; and promotes timely, fair, consistent, and cost-effective claim outcomes. The Specialist also identifies subrogation opportunities, escalates and monitors larger and complex losses, and maintains accurate claim documentation and reporting in the claims management system.

Duties and Responsibilities:

Claim Intake, Investigation, and Resolution

• Acknowledge and review new AL/GL losses within 24 hours, or the next business day when received on a Friday or holiday; ensure required claim details, summaries, documentation, and system fields are complete and current.

• Analyze first reports, investigate liability and damage, identify applicable witnesses and evidence, and coordinate prompt collection of incident reports, photographs, police reports, contracts, scopes of work, service records, weather information, and other relevant materials.

• Directly manage assigned self-administered Auto and General Liability claims, including claimant communication, evaluation, negotiation, payment coordination, release documentation, and timely closure.

• Develop, document, and maintain strategic action plans and diary controls that move claims toward appropriate and timely resolution.

• Evaluate claims based on liability, causation, damages, exposure, and jurisdictional requirements; negotiate settlements within delegated authority and escalate requests above authority with a detailed written rationale.

• Recognize potential fraud or misrepresentation and coordinate appropriate escalation, investigation, and vendor support.

TPA Oversight and Larger-Loss Management

• Oversee TPA adjusters and claim activity; identify performance or handling concerns, recommend corrective actions, and ensure timely communication, investigation, reserving, and resolution.

• Coordinate communication among TPAs, branches, attorneys, vendors, claimants, and other internal stakeholders; respond to claim-related requests within 24 hours and escalate issues as appropriate.

• Provide heightened oversight of larger losses exceeding $50,000 in incurred value, including reserve review, resolution planning, and confirmation that BrightView is not charged beyond applicable retention obligations.

• Review assigned claim files at least every 60 days.

• Participate in claim reviews, strategy discussions, and quarterly management reviews; provide concise status, exposure, reserve, and resolution recommendations.

• Use avaiLable analytics and risk-identification tools to identify recurring loss patterns, contract issues, and opportunities for mitigation or training.

Reserving, Settlement, and Financial Controls

• Maintain reserve adequacy throughout the life of the claim and provide general oversight of the reserve process for claims over $50,000 incurred.

• Exercise reserve and settlement authority in accordance with the approved authority matrix; document approvals, denials, escalation decisions, and settlement authority in the electronic claim file.

• Coordinate claim payments, vendor setup, tax documentation, releases, and system settlement entries; verify payment completion before file closure.

Communication, Compliance, and Team Contribution

• Develop and maintain effective business relationships with branches, TPAs, attorneys, vendors, claimants, and internal partners.

• Provide communication, education, and coaching that reinforce claim reporting requirements, documentation standards, and claims management practices.

• Adhere to statutory and regulatory fair claims practices, privacy requirements, record-retention standards, and internal policies.

• Maintain complete, accurate, and timely claim notes, communications, reserves, settlements, activities, tasks, and supporting documents in Riskonnect or other designated systems.

• Support workload surges, department initiatives, reporting requests, and ad hoc projects; contribute to Risk Management goals, objectives, and results.

Education and Experience:

• Bachelor's degree is preferred, or an equivalent combination of education and relevant experience.

• Minimum of two years of Auto Liability and General Liability Property Damage claims adjusting experience preferred, including handling claims from inception through resolution.

• Working knowledge of insurance, contracts, liability investigation, settlement negotiation, subrogation, and claims management principles.

• Strong investigation, liability analysis, claim valuation, negotiation, and resolution skills.

• Advanced organizational, prioritization, and diary-management skills with a strong sense of urgency and high standards for accuracy.

• Ability to exercise sound judgment, manage multiple priorities, work independently, and collaborate effectively with diverse internal and external partners.

• Strong customer service, relationship-building, and conflict-resolution skills.

• Proficiency in Microsoft Word and Excel and working knowledge of claims management systems; ability to learn BrightView operations and assigned technology platforms.

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Physical Demands/Requirements:

• Constant operation of a computer and other office equipment, such as a laptop, a cell phone, and printers/copiers

• Position is sedentary; must be able to remain in a stationary position for the majority of time

• Operates in an office environment and requires in-person presence

• Ability to maintain, in your possession at all times, required medications to address any known allergic reactions should they occur

Work Environment:

• Work is conducted in a professional office environment, with a collaborative and dynamic team setting, and requires in-person presence

BrightView Landscapes, LLC is an Equal Opportunity and E-Verify Employer.

This job description is subject to change at any time.

BrightView offers a suite or health, wellness, and financial benefits to full-time team members. Benefits offerings for full-time team members include medical, dental, and vision insurance, ancillary and voluntary products, a 401k savings plan with employer contributions, and 6 to 9 company paid holidays per year. Employees may also be eligible to receive paid time off for vacation and/or sick leave, tuition reimbursement, and/or potential variable pay opportunities based on position and performance. A detailed benefits package will be provided during the interview process .

It’s Not Just a Team. It’s One BrightView.