Complex Liability Claims Specialist - Educational Institution Claims

Utica National Insurance Group•Woodbury, NY

7d•$103,300 - $140,000•Hybrid

About The Position

The Specialist will be responsible for the management and effective resolution of higher exposure and complex educational institution claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex educational institution claims is preferred.

Requirements

Four year degree or equivalent experience required.
Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated claims.
Knowledge of additional insured considerations and complex coverage determinations.
Proven experience negotiating claims and active participation in alternative dispute resolution practices.
Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Nice To Haves

Experience handling complex educational institution claims is preferred.
Multi-state licensing including CT, DE, GA, ME, NC, NH, RI, SC, TX, and/or VT preferred.

Responsibilities

Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex educational institution claims in multiple jurisdictions.
Manage all claims in accordance with Utica National’s established claim procedures.
Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level.
Maintain timely and accurate claim reserves in accordance Utica National’s reserving philosophy.
Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel’s work product and working with defense counsel to efficiently and fairly resolve claims.
Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials.
Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle.
Achieve the service standard of “excellent” during all phases of claims handling.
Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction.
Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling.

Benefits

Medical and Prescription Drug Benefit
Dental Benefit
Vision Benefit
Life Insurance and Disability Benefits
401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
Health Savings Account (HSA)
Flexible Spending Accounts
Tuition Assistance, Training, and Professional Designations
Company-Paid Family Leave
Adoption/Surrogacy Assistance Benefit
Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
Student Loan Refinancing Services
Care.com Membership with Back-up Care, Senior Solutions
Business Travel Accident Insurance
Matching Gifts program
Paid Volunteer Day
Employee Referral Award Program
Wellness programs
Personal insurance discount