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About the role
Key responsibilities & impact- Analyze and process bodily injury and third-party property damage claims by investigating and gathering information to determine the exposure on the claim;
- ensure proactive claims handling aimed at the prompt and cost-effective resolution of claims through well-developed action plans.
- Determine need for and direct independent adjusters to gather information to determine exposure on the claim and control their costs.
- Identify and evaluate coverage issues; prepare comprehensive coverage letters with supervisory review and analysis; retain and provide direction to coverage counsel when necessary.
- Assess liability and resolve claim within established evaluation.
- Maintain diaries and complete tasks within required timeframes as set forth by department guidelines; ensure claim files are timely and properly documented with clear and concise analysis on coverage, damages, reserves, and liability including an action plan for resolution.
- Process and pay invoices within a timely manner.
- Coordinate vendor referrals for additional investigation and/or litigation management.
- Calculate and assign timely and appropriate reserves; monitor reserve accuracy throughout the life of the claim.
- Refer case as appropriate to supervisor and management.
- Respond to requests or directions in a professional and timely manner.
- Attend arbitrations, mediations, settlement conference and trials.
- Successfully complete required State licensing examinations and continuing education requirement.
- Communicate with all internal business partners including underwriters to make sure underwriting is aware of large losses and industry trends.
- Partner with TPA Governance and Relationship Management to help TPA’s and Insureds comply with claim handling and reporting guidelines.
- Work with TPA Claims Financial to check the accuracy of TPA financials ensuring alignment with TTPO financials.
Requirements
What you’ll need- 7 plus years of General Liability/Auto claims experience.
- Experience with complex and high exposure General Liability Bodily Injury and Property Damage claims.
- Excellent communication skills (verbal/written) and strong negotiation skills.
- Advanced experience and capabilities in litigation claims management, including ADR and mediation processes, involving auto/GL exposures.
- Strong technical expertise interpreting insurance contracts.
- In depth knowledge of claim handling procedures, claims performance strategies, and claim best practices.
- Advanced analytical and problem solving skills.
- Should also have a demonstrated ability to initiate and champion change initiatives that leverage technology and improve skills in benchmarking.
- Creativity in resolving challenging business problems, as well as ability to achieve business goals and objectives is essential.
Benefits
Comp & perks- A range of competitive benefits, a summary of which can be viewed here: US Benefits.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims analysiscoverage evaluationlitigation claims managementADR processesnegotiationinsurance contract interpretationclaims handling proceduresclaims performance strategiesanalytical skillsproblem solving
Soft Skills
communication skillsnegotiation skillscreativitychange managementcollaborationtime managementprofessionalismattention to detailleadershipinitiative
Certifications
State licensingcontinuing education