Senior Claim Director-TPA Oversight
About The Position
The REH TPA-Oversight Claims Director is responsible for investigating and settling high exposure, high risk claims while ensuring a high level of customer service and claim file quality while providing oversight and guidance to our TPA partners. Duties include, but are not limited to: Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty and auto risks. Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit. Drafts Coverage Letters and Large Loss Reports as necessary. Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages. Directs and closely monitors assignments to experts and defense counsel. Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company. Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor. Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable. Travels to conferences, mediations, and trials as necessary.
Responsibilities
- Investigating and settling high exposure, high risk claims
- Ensuring a high level of customer service and claim file quality
- Providing oversight and guidance to our TPA partners
- Provides outstanding customer service and works well with the insured, broker and TPA in the adjustment of casualty and auto risks
- Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit
- Drafts Coverage Letters and Large Loss Reports as necessary
- Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages
- Directs and closely monitors assignments to experts and defense counsel
- Evaluates information on coverage, liability, and damages to determine the extent of exposure to the insured and the company
- Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor
- Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable
- Travels to conferences, mediations, and trials as necessary
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What This Job Offers
Career Level
Senior
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
