About this role
Role Overview
- Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages.
- Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly.
- Effectively manages loss costs and claim expenses.
- Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner.
- Coordinates discovery and litigation strategy with staff counsel or panel attorneys.
- Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost-effective manner and ensuring timely issuance of disbursements.
- Coordinates third party recovery with subrogation/salvage unit.
- Makes recommendations on claims processes and resolution strategies to management.
- Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients.
- Works with attorneys, account representatives, agents, doctors and insureds regarding the handling and/or disposition of highly complex claims.
- Keeps current on state/territory regulations and issues, industry activity and trends.
- May participate in industry trade groups.
- Provides guidance and assistance to less experienced claims staff and other functional areas.
- Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes.
- May perform additional duties as assigned.
Requirements
- Bachelor's Degree or equivalent experience.
- Typically a minimum of eight years of relevant experience, preferably in a legal or claim handling environment.
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
- Professional designations are a plus (e.g. CPCU).
Benefits
- Comprehensive and competitive benefits package to help our employees and their family members achieve their physical, financial, emotional and social wellbeing goals.