Claims Specialist Jobs

About The Position

Requirements

• Experience with Commercial Excess and Umbrella claims averaging $1–3 million or more.
• Excess claims experience involving premises liability, employer's liability, environmental, auto, products liability, mass torts, and other Commercial Casualty claims.
• Advanced to expert knowledge of commercial casualty claims investigation, coverage, reserving, expense management, resolution strategy, negotiation, litigation management, claims evaluation, and the insurance legal and regulatory environment.
• Advanced to expert skill in customer focus, gaining support, teamwork, and adaptability.
• Expert ability to identify and solve problems, achieve results, and execute thoroughly.
• Ability to work independently, mentor other employees, and serve as a subject matter expert, normally acquired through 7 or more years of experience.
• Ability to adapt to working in multiple claim systems.

Responsibilities

• Own and handle Commercial Casualty Excess/Umbrella claims throughout the claims life cycle.
• Determine coverage and liability; investigate and evaluate claims; establish and adjust reserves; negotiate settlements; authorize and pay claims; and deny claims when appropriate.
• Review lawsuit documentation, supporting documents, claims files, and investigations; establish actions to resolve lawsuits, including coverage determinations, amounts owed, discovery plans, reserves, and negotiations.
• Establish appropriate working teams involving Home Office Legal, defense counsel, and Home Office Claims based on suit allegations.
• Manage outside counsel practices and billing activities.
• Safeguard claims financial processing and information contained in claims files.
• Train and mentor staff as appropriate and manage relationships with business partners such as Underwriting and Reinsurance.
• Monitor, document, and assess claims, including potential risk transfer, and settle or close claims promptly and economically within prescribed authority limits.
• Keep abreast of legislation, court decisions, trends, and experience affecting specialty coverage issues; analyze potential impacts on claims policies and procedures and advise Claims Management as needed.
• Lead and participate in special projects and perform other duties as assigned.

Benefits

• Comprehensive benefits supporting life and well-being
• Workplace flexibility
• Professional development opportunities
• Employee Resource Groups