Tier 3 Claim Owner III-TNC Litigation

Farmers Insurance Careers

5d•$67,950 - $129,000•Hybrid

About The Position

This position handles complex Tier 3 mid-loss auto policy claims requiring in-depth policy interpretation, claim investigation, damage assessment, liability determination, and settlement negotiation. The role owns the entire claim process and serves as the primary point of contact to facilitate claim resolution. In addition to claim issues handled at lower tier levels, this position uses in-depth expertise to manage claim scenarios such as multi-vehicle auto losses with comparative negligence, litigation claims, homeowner liability losses, and bodily injury losses pertaining to soft tissue injury, fracture, dislocation, ligament injury, herniated disc and nerve injuries. Works within prescribed authority to proactively and accurately resolve claims. Escalates claims with exposures exceeding financial authority or Tier 3 complexity to supervisor.

Requirements

3-5 years of prior injury claims adjusting and/or injury claims supervisor work experience, or equivalent experience required.
NV & PA experience preferred.
At least 3 years of litigation experience preferred.
Casualty experience preferred.
Experience preferred within Pennsylvania (Philadelphia).
Experience preferred within Nevada.

Nice To Haves

Completion of, or actively pursing a major insurance designation, or actively pursuing insurance related courses.

Responsibilities

Evaluates bodily injury claims promptly including assessment of medical and general damages and wage loss. Analyzes injury causation for all alleged injuries. Evaluates, sets, and updates case reserve amount for injury exposures throughout the life of the claim.
Negotiates settlement of bodily injury claims with unrepresented claimants and with represented claimants attorneys.
Recognizes and investigates all potential claim exposures, including injury exposures.
Conducts investigations by obtaining recorded statements of involved parties.
Collects police reports, vehicle photos, scene inspections, signed medical authorizations, medical bills and medical records, and other supporting evidence. May conduct in-person or virtual meetings with customers based on claim needs. Analyzes duties owed and breached by all potential responsible parties and determines liability percentage for each party.
Communicates liability decisions to stakeholders including customers, claimants, claim specialists, and Underwriting. Recognizes subrogation potential and makes referrals to Subrogation department when appropriate.
Communicates policy risk issues to Underwriting to facilitate evaluation of policy risk and exposure.
Conducts material misrepresentation investigations and submits findings to Underwriting.
Manages litigated claims by coordinating and collaborating with defense counsel to develop and implement litigation resolution strategies. Attends mediations and trials. Maintains active diary and resolution plan on open claim files. Handles and documents claim files in compliance with regulatory requirements.
Authorizes and issues claim payments to customers, repair facilities, rental vendors, and others.
Obtains signed release of claims and issues payment upon final settlement.
Provides professional verbal and written communication to customers including claim status updates, coverage explanations and decisions, and correspondence such as Reservation of Rights and Disclaimer letters within prescribed authority limits. Communicates with insured throughout the claim process to keep them informed. Comprehensively assesses policy details to confirm coverage.
Makes same-day contact with customers to explain the claim process and verify facts of loss. Explains coverage details to policyholders. Determines vehicle location and condition. Secures timely auto physical damage estimates via proper inspection method and repair channel.
Explains repair process and estimates to customers and offers repair and rental service options.
Proactively manages and mitigates storage costs and arranges release of vehicles accruing storage fees.
Coordinates with auto physical damage and total loss specialists to facilitate claim resolution.
Mentors less experienced Tier 3 Claim Owners. Backstops peers and/or supervisors as needed. Performs other duties as assigned.