AVP, Claims Complex Auto and GL

Berkley • Stamford, CT

111d

About The Position

The AVP, Claims is responsible for identifying and monitoring complex auto and GL casualty claims by participating in handling, reserving and resolution discussions. S/he keeps the Vice President of Claims informed of significant developments and defensive strategies, reserving recommendations and attorney assignments on severe or complex claims arising under auto and GL and specialty policies. The role involves proactive management of claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.

Requirements

• Bachelor's degree from four-year college or university with emphasis in Business, Insurance or related degree; J.D. preferred.
• Ten years of progressively responsible experience in claims and casualty insurance managing complex casualty and litigation claims; or equivalent combination of education and experience.
• Licensed adjuster in necessary jurisdictions.
• Advanced knowledge of claims operating practices, and claims litigation laws and regulations.
• Strong analytical skills.
• Strong written and oral communication skills.
• Possess strong customer orientation.
• Ability to travel as needed and work outside normal work schedule to fulfill responsibilities.
• Proficient with Microsoft Word, Excel, PowerPoint and Outlook.

Responsibilities

• Proactively manages claim files from inception to closure, including identification and investigation of coverage, liability and damage issues.
• Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
• Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
• Manages coverage counsel on complex coverage decisions.
• Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
• Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
• Manages third party administrator adjusters and provides home office guidance and oversight.
• Appropriately and clearly documents claim file activity, including current strategy, plan of action and exit plan in file notes.
• Directs and controls the activities and costs of numerous outside vendors including TPA adjusters, defense counsel and coverage counsel.
• Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management.
• Composes and transmits detailed Large Loss Report documents.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Administrative and Support Services
• Education Level: Bachelor's degree