Job description

This role is focused on technical claim handling of complex general liability claims, both litigated and non-litigated. This role requires an individual to be accountable for the handling and disposition of claims including investigation, coverage determination, reserving, negotiation, and settlement or setting trial strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

1. Responsible for managing and evaluating general liability claims affecting primary and excess policies in a fast-paced E&S Claim remote environment

2. Independently evaluating information on coverage, liability, and damages to determine the extent of exposure to the insured and all financial partners

3. Litigation Management - developing and executing litigation plans; managing lawsuits and legal budgets through resolution.

4. Determine where new loss claims should be reported.

5. Manage all claim documentation.

6. Use discretion to submit the necessary information and/or correspondence to the Agent or Insurer to process claims appropriately.

7. Analyze claim coverage with insurance carriers to ensure claims are paid accurately.

8. Assess eligibility status of denied claims.

9. Anticipate and meets all customer needs (both internal and external). Providing outstanding customer service and fostering positive working relationships with insureds, brokers, and underwriters in the handling and adjudication of all claims

10. Handling complex claims from first notice of loss through ultimate resolution either through direct negotiations or trial; working with and advising internal and external financial partners

11. Maintain claims and suspense system ensuring follow-up for receipt of policies, endorsements, inspections reports, correspondence, claims, etc. from outside sources.

12. Analyze and execute risk transfer opportunities, draft reports, setting reserves within authority, and making claim recommendations concerning reserve changes.

13. Process all departmental claims in a timely manner according to company policy.

14. Perform other duties as assigned.

QUALIFICATIONS

Required Qualifications:

The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Bachelor's degree with a concentration in business or equivalent work experience

2. Three years of Claims handling experience and commercial and multi-line knowledge

3. Ability to critically review a claim file for relevant information, accurately access the information and make necessary recommendations

4. Ability to make independent decisions following CRC guidelines with minimal or no supervision

5. Good organizational, time management, and detail skills

6. Extensive knowledge of insurance and CRC processes

7. Ability to maintain a high level of tact and professionalism

8. Good leadership skills to influence all departmental employees in a positive manner

9. Possess strong interpersonal skills

10. Strong verbal and written communication skills

11. Strong computer and office skills

12. Ability to work extended hours when necessary