Job Description: Essential Duties and Responsibilities include the following. Other duties assigned as needed. Act as point-of-contact for insureds regarding general claim questions and reporting of claims. Identify and perform coverage analysis and prepare reservation of rights/declination letters when appropriate. Make liability decisions, analyze aggravating factors and potential for shared responsibility, and set up subrogation (as applicable) Manage and work with defense counsel (as applicable) to develop the case to include expert support and case strategy. Conduct proper reviews and independent investigations pre-litigation. Maintain cases on diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations are handled. Keep current running notes to reflect file development and ensure proper documents are maintained in the claims system. Prioritize and evaluate claims, the majority will be injury/casualty with attorney involvement Negotiate claim settlements with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate. Use knowledge of state regulatory and statutory requirements for a multi-state region May also handle multi-compete/complex property claims and renters injury claims Qualifications to perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Job Type
Full-time
Career Level
Senior
Number of Employees
251-500 employees