General Liability Attorney Rep Claims Specialist, Risk Mgmt - Lakeland

Publix Super Markets • Lakeland, FL

60d

About The Position

The purpose of this position is to primarily adjust non-litigated general liability and fleet claims with both non represented customers and attorneys. This role includes gathering evidence, analyzing facts, investigating, using sound judgement for both non-litigated attorney represented claims and customer claims to determine Publix's liability exposure. The primary function is communicating directly with customers and attorneys, of Publix's liability assessment and directly negotiating settlements on low to mid-level general liability and fleet claims to contain financial exposure. This position is also responsible for preliminarily identifying subrogation opportunities and appropriately referring claims to third parties with potential liability exposure when appropriate or escalating the subrogation or tender issue to a Supervisor. There are approximately 21,000 events reported annually. Of those 21,000 events, approximately 8,100 become claims. The Claims Specialist II also exclusively handles Fleet, CQA, QRE and Crime and Casualty events regardless of whether they escalate to a claim. Customer claims cost $2,200 to resolve on average. Attorney-represented claims duration is 13 months on average and cost $35,000 to resolve. Total inventory of active GL claims fluctuates between 2,500 - 2,800 with approximately 1,200 of the total open claims in litigation in all states that Publix does business. Each associate will process approximately 250 new attorney-represented claims a year while working a desk of approximately 175 active customer incidents. The responsibilities listed on this position analysis are not intended to be all-inclusive and additional responsibilities may be assigned as needed.

Requirements

• High School diploma or equivalent experience (if applicable)
• 2 years of liability claims handling experience
• ability to obtain Florida All Lines Adjuster License upon hire as well as reciprocal licenses for all the states that Publix operates in
• knowledge of principals of general liability including familiarity with concepts of legal negligence and notice
• knowledge of general insurance adjusting procedures, rules, and ethics
• the ability to work effectively without close supervision or guidance.
• the ability to work productively and effectively when faced with stressful work situations and time pressures
• the ability to manage time so that the priority of the activities determines the timing and amount of attention they receive
• the ability to attend to and verify the accuracy and completeness of detailed information in documents or on the computer, such as prices, quantity, weights, lists or data
• the ability to effectively resolve problems; identify and analyze key information from multiple sources; determine the root causes and find solutions to eliminate them; proactively anticipate potential problems and implement or modify systems to prevent their occurrence
• the ability to see and understand the bigger picture of what the organization is, where it needs to go, and how it will get there
• the ability to develop and maintain professional, trusting, positive, and productive working relationships with associates, managers, customers, and vendors
• the ability to create an environment in which a positive and professional service orientation is evident to internal customers
• proficiency in developing win-win situations and solutions between the company, vendors/suppliers, and other parties; proficiency in working with others to reach a final decision; proficiency in persuading and influencing decisions and tactics of others to achieve maximum benefit to the company; proficiency in influencing others to accept offers, ideas, et
• the ability to manage and resolve conflict or disputes between individuals
• the ability to use "active listening" techniques to ensure the understanding of information provided by the speaker and display interest in the topic discussed
• the ability to orally present and express ideas and information clearly, politely, and concisely, in a manner appropriate to the audience
• the ability to prepare clear, accurate, understandable, and professional written text in English, using appropriate level of detail for the intended audience, and following the basic rules of spelling, grammar, and punctuation to convey information
• basic skill level in Microsoft Word and Excel
• availability to take day trips or local travel as business needs require
• availability to work weekends as business needs require
• availability to wok extended hours as business needs require

Nice To Haves

• Bachelor's degree in any discipline
• 3 years of liability claims handling experience
• actively holds Florida All Lines Adjuster's License
• knowledge of legal issues and burden of proof relating to GL and Auto negligence in all states Publix operates in
• knowledge of legal issues and evidentiary standards relating to damages in all states Publix operates in
• knowledge of risk transfer and notice obligations relating to same
• knowledge of civil procedure in all states Publix operates in
• intermediate skill level in Microsoft Word, Excel and PowerPoint
• basic skill level in Risk Management Claims System and Medicare Reporting System

Responsibilities

• analyzing, investigating, and adjusting asserted non-attorney represented customer claims and attorney represented customer claims to a resolution
• for evaluating and completing potential risk transfer referrals and overseeing the administrative functions involved in the resolution of non-attorney represented customers claims and resolution of claim subrogation against third parties
• review and analysis of the demand package received from opposing counsel and the negotiation/settlement of claims when appropriate, complying with federally mandated Medicare reporting on settled claims
• developing an action plan for effectively managing low value (below $50,000) litigated claims during handling process
• identifying specific types of liability claims that may be suspicious, repetitive in cause, of a sensitive nature, or claims representing heightened financial exposure to Publix

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Food and Beverage Retailers
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees