SUMMARY Responsible for managing, reporting and monitoring liability claims files. Provides coverage/policy interpretation for liability claims, as well as guidance on liability coverage and claims issues. Provides proactive oversight, guidance, and professional development to a team of liability Claims Adjusters. ESSENTIAL DUTIES AND RESPONSIBILITIES Partners proactively with management to inform, analyze, educate and mitigate potential future liability claims; identifies high frequency and/or severity trends for immediate action; Resolves complex exposure claims, using high service oriented file handling working closely with clients to resolve conflicts, settle disputes, resolve grievances; Presents potentially problematic and high value cases to management for review and settlement boundary approval; Manages and maintains information regarding claims and requests for documents from employees and others, and monitors claims; Maintains claims information for regular quarterly review, and carrier notifications. Files all notices and reports of claims to all carriers; Reviews/acts on reported litigated claims; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties; Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization; Proactively addresses cases involving a legal inquiry or dispute and develops a strategy to bring a case to satisfactory resolution; Supervises staff including; motivating/mentoring staff, providing employee training and development, conducting performance reviews and performing disciplinary action as appropriate; Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information); Other duties as assigned.
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Job Type
Full-time
Career Level
Manager