Investigate, evaluate, negotiate, and resolve the highest complexity litigated and non-litigated claims across multiple lines of business
Analyze and identify coverage issues, prepare coverage letters and collaborate with in-house coverage counsel
Investigate, evaluate, document, and reserve, assessing liability and damages according to Best Practices
Manage litigation by assigning counsel, establish litigation plan and budget, coordinate with defense counsel, and continuously review for potential resolution
Establish timely reserves and continuously re-evaluate their adequacy upon receipt of new information
Maintain timely and appropriate file documentation and written file notes
Maintain an active diary and productive file inventory
Timely completion of all required large loss reporting
Negotiate settlements within authority, and attend mediations, mandatory settlement conferences, and/or Alternative Dispute Resolutions
Identify and pursue opportunities for co-insurance, risk transfer and/or subrogation
Recognize and investigate suspected fraudulent claims
Comply with deductible/self-insured retention and recovery protocols
Meet all State licensing requirements and adhere to statutory regulations and Unfair Claims Practices acts
Serve as mentor and contributor for claims associates and assist management with projects and presentations as needed
Requirements
Four (4) year College Degree, or commensurate experience and training
JD preferred but not required
Industry designations preferred (CRIS, AIC, SCLA, etc.)
Possess and maintain required adjuster licensing in various states
Meet all State licensing requirements
10+ years of complex claims handling experience, including General Liability, Products Liability, and Professional Liability claims
Possess advanced expertise in handling complex, high exposure claims in multiple jurisdictions from initial intake through final resolution
Ability to effectively collaborate with internal and external business partners
Excellent oral and written communication skills
Ability to evaluate priorities and meet deadlines efficiently
In-depth knowledge of the insurance industry, including legal and regulatory environments
Prior experience as a claims manager is a plus but not required