About The Position

Investigates, evaluates, and resolves complex and litigated Automobile, General Liability, Professional Liability, and Property claims for large self-insured and unbundled clients. The role provides a superior level of customer service to internal and external business partners and administers and resolves claims in a timely manner and in accordance with client, company, and regulatory guidelines. It is typically assigned claims with the highest loss exposures and more difficult coverage and excess issues, with a diary consisting predominantly of litigated professional liability losses. Regional travel may be needed to attend depositions, mediations, and trials.

Requirements

  • New York and Florida or Texas licenses.
  • Experience handling national complex litigated claims.
  • Bachelor's degree.
  • At least 10 years of progressively responsible experience handling complex General Liability, Employers Liability, Professional Liability, WC 1B, and Property claims.
  • Advanced skills and expertise in coverage analysis, negligence principles, investigation, evaluation, and negotiation techniques.
  • Strong organizational skills and attention to detail.
  • Ability to work independently, prioritize workload, handle multiple tasks simultaneously, and exercise good judgment.
  • Excellent verbal and written communication skills, including the ability to lead or participate in meetings, presentations, and conferences.
  • Excellent customer service skills, with an emphasis on accessibility and responsiveness.
  • Computer literacy, including working knowledge of Microsoft Word, Excel, and PowerPoint.
  • Strong litigation management skills and extensive knowledge of applicable statutory, regulatory, and legislative decisions.

Responsibilities

  • Promptly investigate assigned claims for coverage, liability, damages, and subrogation or contribution potential, and ensure timely disposition in accordance with regulatory and statutory requirements.
  • Establish appropriate loss and expense reserves within granted authority, document the rationale, and maintain or adjust reserves as exposure changes; notify claim management when exposure exceeds authority.
  • Negotiate claim resolutions within granted authority.
  • Establish and execute claim-resolution action plans, managing loss costs while balancing allocated expenses and loss outcomes.
  • Comply with client Special Handling Guidelines.
  • Collaborate with internal and external professionals and business partners to investigate and appropriately dispose of claims.
  • Select and manage service vendors in accordance with company and client special handling guidelines.
  • Maintain working knowledge of applicable regulatory and jurisdictional requirements.
  • Apply established claims-handling guidelines and best practices consistently and in a timely manner.
  • Communicate effectively with internal and external customers about claims and account issues.
  • Maintain and manage a diary system and claim pending to resolve claims efficiently and effectively.
  • Manage litigation and defense counsel to achieve timely and cost-effective outcomes.
  • Participate with clients in managing their litigation management programs.
  • Prepare and submit claim status and excess reports to clients and their excess carriers.
  • Demonstrate commitment to the Company's Code of Business Conduct and Ethics and apply relevant compliance policies, procedures, standards, and laws when performing work.
  • Obtain and maintain state adjusting licenses as appropriate and complete state-required continuing education credits to maintain licensure.
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