Claims Technical Consultant

Berkley•Meridian, ID

10d•Onsite

About The Position

The Claims Technical Consultant is responsible for resolving highly complex commercial property and casualty claims at the highest authority levels, delivering effective and efficient claims resolutions, and providing technical leadership within the claims organization.

Requirements

Effective verbal and written communication skills
Ability to accurately keyboard and utilize multiple computer systems
Ability to perform multiple duties in a fast-paced environment
High level of professionalism with internal and external customers
Strong organizational and prioritization skills
Ability to analyze contracts and legal documents and take positions on claim issues
Advanced insurance coverage interpretation skills
Proven litigation management skills
Effective presentation skills
Advanced negotiation experience
Strong analytical, critical thinking, and problem-solving skills
Experience collaborating in a team environment and building cross-functional relationships
Proactively shares and promotes insights
Ability to gather perspectives from multiple teams to optimize outcomes
Ability to analyze and apply insurance policy components for complex claims
Ability to follow reserving processes for indemnity and expense
Ability to determine scope and exposure of complex claims
Ability to leverage trends and relationships to provide high-quality customer service
Strong understanding of financial and actuarial trends and concepts
Ability to communicate coverage determinations effectively to customers, clients, and brokers
Bachelor’s Degree and 15 or more years of experience in the Claims Technical area OR Juris Doctor and 4 or more years of experience in Claims and Litigation Management
Must obtain and retain required adjuster licenses
Microsoft Office experience required
Knowledge of insurance regulations, markets, and products

Nice To Haves

Advanced insurance education preferred such as AIC, CPCU, SCLA

Responsibilities

Examine and analyze policies, contracts, and claim forms to determine coverage on complex and multi-party claims
Determine liability by gathering and analyzing relevant facts and applying applicable law and negligence principles
Investigate losses via telephone, correspondence, or on-site inspection
Request and review reports such as police reports, fire reports, medical records, and property inspections
Review and hire liability and medical experts for litigated and pre-suit claims
Utilize independent adjusting services when appropriate
Establish and continually reevaluate accurate claim reserves throughout the lifecycle of the claim
Manage litigation by assigning counsel, establishing litigation plans and budgets, coordinating defense activities, reviewing settlement potential, and authorizing payments
Enter claim data accurately into claim systems for reporting purposes
Collaborate on subrogation, arbitration, and salvage recovery
Conduct Medicare lien analysis and negotiate liens when applicable
Recommend and coordinate with outside legal counsel regarding defense strategy, including settlement or trial decisions
Provide technical advice, direction, training, and mentoring to claims staff
Attend settlement conferences, depositions, mediations, pre-trial hearings, and trials as needed
Contribute to profitable growth by providing risk insights and trends to business units and customers
Maintain professional and technical knowledge through education, networking, and industry engagement
Stay current on legal and coverage trends across jurisdictions
Act as a technical expert for internal teams and business partners
Provide insights to improve product offerings, risk assessments, and policy language
Present complex claims to senior leadership for authority and strategic direction