Job Description
About the role.
The Executive Claim Analyst is a key member of the Casualty Claims Department reporting to the Casualty Large Loss Manager. The primary goal of this position is to handle our most severe and complex claims, while delivering flawless service to our members. This person will handle first and third party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance.
What You’ll Do.
Claims handling:
Display ownership in handling a pending of the company’s most catastrophic bodily injury claims and demonstrate a continual high level of technical competency in:
Coverage analysis and determinations;
Catastrophic claim investigation;
Claim strategy formulation and execution; and
The ability to accurately and effectively evaluate, reserve, negotiate, and resolve complex claims within prescribed authority levels.
Analyze policy language in conjunction with specific loss facts to reach appropriate and timely coverage decisions, then communicate those decisions via Reservation of Rights, disclaimers, etc. in compliance with state statutes and regulatory requirements.
Determine and execute an investigation and evidence preservation strategy to uncover needed information and preserve evidence, witnesses, testimony, etc. essential to our Members’ defenses.
Identify liability and damages’ defenses available to the Member and execute a strategy to achieve them.
Establish appropriate initial loss and expense reserves on complex and severe cases and continually evaluate the file for adequacy, accuracy, and adherence to reserving guidelines. Regularly and timely draft and present Large Loss Notice evaluations (and other detailed reporting documents), as appropriate.
Keep agents and Members up to date on all claim developments and respond timely to inquiries from Members, agents, vendors, defense and plaintiff attorneys, etc.
Own data integrity in claim and policy administration system regarding claims within pending.
Vendor Management:
Obtain budgets and steward costs from outside vendors, including independent adjusters, defense counsel, and coverage counsel.
Collaboration:
Effectively present and discuss facts of loss and present opinions on value and strategy in roundtable discussions to peers, claims management, and executive leaders.
Contribute as Subject Matter Expert facilitating internal training of colleagues on topics of special interest in consultation with claims leadership.
Support both internal and external business partners as casualty Subject Matter Expert in dealing with cross functional teams (underwriting, actuarial, etc.) and agency partners regarding technical/functional business requirements and business development.
Serve as a technical resource within the Casualty Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to the larger department.
What You'll Need.
Technical Experience:
10+ years of direct Property and Casualty insurance claims experience.
5+ years’ experience in handling both auto and general liability litigated files, complex first and third party bodily injury, and complex coverage claims.
Proven ability to handle complex exposures in excess of $750,000 in value.
Experience handling litigated files, arbitration, and mediation, and a comfort level regarding in-person attendance at legal proceedings as required.
Experience within the high net worth industry a plus.
Working knowledge of excel, word, and email applications.
Travel required up to 25%
Education/Continuous Education requirements:
A Bachelor’s degree is required.
Demonstrated commitment to continuous learning and professional development including completion of one or more advanced educational or industry designations such as JD, MBA, CPCU, AIC, or CCLA.
Competencies:
Excellent interpersonal, listening, written, and oral communication skills.
Highly detailed and organized, capable of prioritizing multiple tasks and assuring consistently high levels of accuracy.
Demonstrate integrity, exhibit team spirit and enthusiasm, and establish trust and credibility.
Agile learner who can quickly absorb information and apply it to current business situations.
What We Do
We're a member-owned property and casualty insurer designed exclusively for financially successful families and driven by a purpose of doing what is right for our members. Our reciprocal model focuses on service and doing what is right for the membership: we provide exceptional service, hospitality and care, we partner with our members to help prevent losses and we create smart insurance solutions at fair prices.
We aim for our members to love their insurance. It is our mission is to create a membership experience so compelling that our members never want to leave.
Who We Are
We want to be transparent about what we expect from each other. From PURE, you can expect:
Opportunities to stretch and grow: your professional and personal development matters to us. We’re committed to providing experiences through on-the-job learning and professional development that increase your impact and rewards.
Clarity and kindness: you can rely on us to be open, honest and supportive, offering clarity on what success looks like.
Support in good times and bad: we believe in showing up for each other consistently, not only when it’s easy. You can expect a thoughtful partner, even when we disagree.
A community that cares: we are committed to sustaining a community in which each person feels cared for as an individual. We lift each other up, celebrate wins together and support one another through challenges in work and life.
Who You Are
All of the strongest relationships are a partnership- a two way street. So here’s what we ask of you:
Aim to bring your best every day: you’re here because you want to be part of a team that makes a real impact and aims high.
Be a student and a teacher: share your knowledge and talents and be willing to listen and learn from those around you.
Get comfortable being uncomfortable: we face tough moments and obstacles with a “courage over comfort” approach and a positive, solutions-oriented mindset.
Be a culture builder: building a positive culture is everyone's responsibility, based on care, respect and openness to diverse perspectives.
Want to Learn More?