VP Client Consulting
Businessolver
AVP, Casualty Claims
Palomar
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $135,000 - $200,000 per year
Job Level
Lead
About the role
- 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
Requirements
- 10 plus years of relevant experience with a degree of specialized and technical competence in the handling of Excess Casualty, General Liability/Auto claims, Premises Liability and Construction Defect claims. Experience with Professional Liability claims is a plus
- Bachelor's degree, Master's degree or equivalent experience. JD preferred
- Strong skills in coverage analysis, claim evaluation and negotiation
- Adept at identifying and evaluating risk transfer opportunities pursuant to contracts, lease agreements, certificates of insurance
- Ability to multi-task varied and significant matters
- Excellent oral and written communication skills
- An inclusive mindset and a team player with an open, transparent communication style.
- Demonstrable track record of working autonomously, time management skills and driving progress
- Be intellectually curious, pragmatic and think creatively
- Experience in a work environment that requires collaboration across work groups
- Working knowledge of industry best practices, procedures and case law
- Ability to work independently and assimilate learning materials on many different subjects from various sources
- Excellent interpersonal communications and negotiation skills; and an ability to deal with customers and business partners in a professional manner
- Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues
- Eager to work in a fast-paced environment
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
Benefits
- Full Suite of Medical Benefits
- Long Term Financial Incentives – STOCK!
- 401k with 3.5% Automatic Fully Vested Employer Contributions
- Competitive PTO + Holiday Program
- Lifestyle Spending Account
- Professional Development Assistance
- Career Exploration Opportunities
- Regular company-wide social events (even virtually!)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
coverage analysisclaim evaluationnegotiationlitigation managementreserve settingrisk transfer evaluationclaims handlingauditingreinsurance reportinginsurance laws
Soft skills
oral communicationwritten communicationteam playertime managementintellectual curiositycreativityinterpersonal communicationdecision makingautonomycollaboration
Certifications
Insurance Adjuster License
