Executive Claims Examiner, Programs

Role Overview

• Investigate, negotiate, and settle complex primary and excess policy casualty claims
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine and complex coverage correspondence
• Effectively communicate coverage positions to policyholders and other stakeholders
• Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel
• Proactively work toward expeditious and economical resolution of claims
• Assist internal business partners, including claims vendor management, disbursement and legal collections teams
• Communicate with underwriting as needed to manage claims and alert of significant developments
• Promptly communicate with management on adverse case developments
• Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans
• Maintain and adhere to internal guidelines and procedures
• Ensure proper adherence to internal reporting requirements
• Contribute and assist in the implementation of initiatives and action plans brought forth by management
• Actively participate in the ongoing training and development of claims examiners

Requirements

• Minimum 10+ years of casualty claims or litigation experience required
• Experience managing, overseeing, and partnering with third-party administrators, managing general agents, and/or managing general underwriters is a plus
• College degree required and professional designations preferred
• Excellent written and oral communication skills
• Sound comprehension of insurance coverage posed by casualty liability and excess liability policies
• Ability to analyze and convey summations of complex issues both verbally and in writing; recognize alternative approaches and develop action plans
• Experience in determining contractual obligations, insurance coverage analyses, and investigations
• Insurance coverage litigation experience a plus
• Ability to manage complex litigation, set loss and expense reserves and evaluate settlement values
• Work collaboratively and as team player willing to assist within the Unit and Casualty Division as needed
• Ability to proactively and independently manage a caseload
• Travel required as necessary (approximately 10-20%)

Benefits

• Health insurance
• 401(k) with employer match contributions
• Employee Stock Purchase Plan
• Paid Time Off (PTO)
• Corporate holidays and floating holidays
• Parental leave