Job Description
Description
With minimal supervision, independently handles a book of specialty lines claims throughout the entire claim's life cycle. Responsible for conducting investigations, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within the established authority limits for the line of business.
You will be required to go into the office twice a week if you reside within 50 miles of one of the following offices: Bala Cynwyd, PA; Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Syracuse, NY; Tampa, FL; or Weatogue, CT. Please note this policy is subject to change.
Responsibilities
Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers, risk managers and reinsurers. As required, maintains insurance adjuster licenses.Must have Cyber/Media/Tech Liability Experience
Qualifications
- Bachelors' and/or advanced degree
- 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred
- Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge
- Functional knowledge of law and insurance regulations in various jurisdictions
- Demonstrated advanced verbal and written communications skills
- Demonstrated advanced analytical, decision making and negotiation skills
