Insurance

• Responsible for the handling of Miscellaneous Professional Liability claims for the organization from inception to resolution.
• Involves the negotiation and settlement of mid to high severity Miscellaneous Professional Liability insurance claims.
• May be responsible for single or multi-country claims and will be responsible for all aspects of the claims, including liaise with external and internal business partners (e.g., outside experts and/or or legal counsel; underwriting) as required.
• Adjudicates assigned claims within given authority and provides operational support to the claims team.
• With minimal supervision, adjusts to resolution the highest severity claims and drafts the most complex technical coverage analysis and letters required in the given claim department.
• Acts as subject matter expert within the team.
• Leads litigation best practices and strategy including attending and leading trials and mediations.
• Uses superior knowledge and experience to affect positive claim outcome via investigation, negotiation and utilization of alternative dispute resolutions.
• Identifies and provides potential solutions for emerging exposures and claims trends.
• Identifies suspected fraudulent claims and tracks with special investigations unit.
• Accurately documents claim files with all relevant claim documentation, correspondence and notes in compliance with company policies and applicable regulatory authorities.
• Mentors other team members.
• Develops content and conducts training for claims team and underwriters as requested.
• Reviews and analyses claim documentation and legal filings.

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