Review claims and related systems and processes
Understand and analyze policy language and contracts
Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments
Draft disclaimers and reservation of rights letters
Negotiate settlements, mitigate losses, and control expenses
Adhere to Claims Best Practices, Key Controls, and file handling requirements
Maintain a high level of communication with leadership and underwriting partners
Ensure appropriate reports are timely prepared and disseminated
Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units
Present to management, mentor new staff and identify procedural improvements
Support other functional groups within the organization
Ensure compliance with internal corporate guidelines, processes and procedures
Other duties as required by management
Some travel, as required for trials & mediations, etc

Experience in casualty and/or specialty claims handling or related litigation with a career history of increasing responsibility
Experience handling claims in the Excess and Surplus market required
Experience handling claims in all of the following divisions is preferred: General and Excess Casualty, Life Sciences, Contractors, Products, Professional and Management Liability, Allied Medical and Medical Professionals
Experience working with complex coverage issues required
Multi-jurisdictional claims and litigation experience required
Adjuster license and or certifications desired but not required
Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M
Strong negotiating, analytical, written, and organizational skills
Mediation and arbitration experience preferred
Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems)
Ability to prioritize and manage deadlines
Ability to work both independently and collaboratively as part of a team
Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal

Claims Specialist

Key skills