Coverys

Consultant

• Our Claims team is currently looking for a Senior Claim Consultant to join us in NJ or PA. While this is a remote position, qualified candidates must reside in one of these states to best serve our policyholders.\n• Investigates, evaluates, and disposes of MPL and General Liability claims with varying degrees of complexity and severity.\n• Interview insureds, claimants, witnesses, and other appropriate parties to obtain information used to assess liability exposure.\n• Document file regarding results of investigation and negotiations.\n• Prepare reports to file on established diary dates and other specific reports as needed to ensure timely file documentation and plan of action.\n• Secure records for investigation and evaluation of cases.\n• Determine and implement negotiation strategy and negotiates settlements within authority level.\n• Adjust reserves within level of authority and make reserve recommendations to Manager/Director for amounts over position authority level.\n• Evaluate cases for appropriate disposition and seek authority for settlement from manager/director when settlement amount requests exceed authority.\n• Direct and monitor activities of defense counsel in compliance with Case Management Guidelines.\n• Monitor trials and attend pre-trial proceedings, mediations, and arbitrations as necessary.\n• Identify significant insured Risk Management or Underwriting issues and direct the information to appropriate department.\n• Communicate with insureds, claimants, and witnesses; consult medical and other relevant records, varying methods of investigation according to type of claim.\n• Analyze losses to determine if insurance coverage applies.\n• Maintain working knowledge of policy forms and can confirm policy in effect for date of loss.\n• Performs other duties as assigned.