Liability Major Case Claim Specialist

The Hartford • Lake Mary, FL

254d • $106,400 - $159,600 • Remote

About The Position

The Claim Specialist role is crucial for handling claims within the Major Case team, specifically for Life Science claims under Hartford Global Specialty and Life Science Elite. This position, being the highest claim handling designation within the Liability Major case team, is both visible and important. The candidate should also possess experience handling high exposure auto and general liability claims. We are seeking a motivated, initiative-taker who would enjoy a fast-paced collaborative work environment! The claims specialist will enjoy working primarily on a caseload of complex, high-exposure Life Sciences claims from inception through final disposition. This team works closely with our claims, underwriting and legal partners to ensure the best possible result for our customers! Our ideal candidate will have expertise in: product liability claims involving pharmaceuticals and medical devices. Additional areas of focus include professional liability claims, clinical trials, cyber and mass tort product liability cases, and personal and advertising injury claims. The caseload will involve primary and excess occurrence based general liability coverage as well as primary and excess claims made coverages with complex fact patterns requiring analysis of contracts between parties to determine indemnity and defense as well as risk transfer opportunities.

Requirements

• A bachelor's degree required; MBA or Law degree a plus
• Specialization in product liability, medical malpractice or mass tort insurance liability experience is preferred
• Minimum of 5 years of experience in handling product liability claims with preference for candidates whom have handled pharmaceutical, medical device cases, professional liability claims with clinical trials, and mass tort product liability litigation
• Prior experience handling both primary and excess policy coverages/claims
• Prior experience handling complex auto and general liability claims
• Working knowledge of coverage and tort laws
• Strong coverage acumen with the ability to readily understand the terms and conditions found in manuscript policies
• Familiarity with state specific insurance regulatory requirements
• High level of discipline, results-orientation and ability to drive bottom line results
• Superior analytical ability and organizational skills
• Effective interpersonal communication skills in both verbal and written formats
• Proven strategic reasoning and execution skills
• Excellent negotiation and advanced technical claim handling skills
• Full command of issues and medicals relative to high value bodily injury claims
• Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity
• Ability to effectively communicate in a highly-matrixed environment
• Readily able to influence and drive successful, collaborative claim outcomes

Responsibilities

• Conduct complex investigations and extensive claim file reviews on assigned cases
• Provide coverage determinations and communicate the written position(s) to insureds, business partners and legal counsel as needed
• Operate within prescribed authority levels to set appropriate expense and indemnity reserves
• Regularly monitor indemnity reserves for any required adjustment
• Present cases above authority level to leadership for expense/indemnity reserve authority
• Develop and implement resolution strategies to achieve high quality outcomes
• Pro-actively manage litigation and counsel throughout the case lifecycle
• Directly oversee the litigation planning, execution, budget and bill review
• Attend trials and mediations as necessary
• Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives
• Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy issues, industry trends, etc.
• Collaborate with valued business partners to review and address claim trends
• Address inquiries from agents and policyholders with a focus on providing superior customer service
• Effectively communicate with internal constituents including billing, reinsurance accounting, finance and actuarial.

Benefits

• Short-term or annual bonuses
• Long-term incentives
• On-the-spot recognition

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Insurance Carriers and Related Activities
• Education Level: Bachelor's degree