Palomar

Vice President

• Timely manage claims from first notice of loss through resolution, including coverage analysis, liability and damages evaluation, reserve setting, litigation management, and resolution strategy
• Serve as the first point of contact for new casualty claim notices, document review and interviews with insureds and brokers
• Analyze and draft coverage letters while effectively communicating coverage positions to insureds, brokers, and agents
• Leads all activities involved with a focused investigation to determine compensability, liability, and covered damages by gathering pertinent information, documenting statements from customers/ claimants, and working with experts, or other parties, as necessary to verify the facts of the claim
• Drives the resolution of claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy including: management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, retain, direct, and manage litigation counsel through trial, developing and managing strategy for complex litigation; attend arbitrations, mediations, trials, authorizing payments within scope of authority.)
• Prepares and presents high profile, complex information to senior leadership, customers, counsel and others by effectively identifying high profile matters, developing executive loss summaries, coordinating, and communicating resolution strategies and sharing relevant current events and case law
• Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on insurance laws, regulations, or trends for the specialized line of business, and may represent the company in industry trade groups or other notable events
• Mentors, guides, develops and delivers training to less experienced Claim Professionals and may assist with special projects as needed
• Participate in, and sometimes lead, audits of TPA partners
• Coordinate reinsurance reporting and analysis, ensuring timely and accurate communications with internal and external stakeholders.
• Travel as required. Represent the Claims function externally, as needed — including broker meetings, mediations, or settlement conferences.
• Other duties as assigned

AVP, Casualty Claims