JOB SUMMARY

Investigate, evaluate, and resolve claims asserted against the Company’s Primary General Liability policies. Oversee and manage third-party administrators (TPA’s) under contract with the Company to administer the Company’s claims. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.

RESPONSIBILITY

• Efficiently manage a vigorous claims caseload involving a broad spectrum of accounts and coverages. Promptly analyze coverage, draft accurate and timely coverage position letters, manage litigation, and interact with insureds, brokers, defense counsel, underwriters and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Represent Company in the resolution of claims and participate in legal proceedings, including mediations.
• Effectively manage and oversee the Company’s TPA’s in their day to day administration of claims, including reviewing coverage position letters and responding to requests for authority. Serve as claims liaison between TPA and the Company, including responding to claims and related issues. Conduct periodic claim audits, prepare audit reports, and approve service invoices.
• Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested. Prepare claim summaries and other reports as necessary for management. Prepare Large Loss reports and present cases on a quarterly basis to senior management.
• Meet with existing or prospective clients and brokers. Attend company sponsored training events and relevant industry conferences/meetings.

• A minimum of 5 years’ experience handling liability insurance claims or related relevant experience. Experience handling specialty lines claims is strongly preferred. Four-year college degree is required.
• Knowledge of claims, legal and coverage issues in all U.S. jurisdictions. Excellent negotiation and communication skills. Strong technical skills and writing experience. Proficient with Microsoft Office products.

• Ability to accurately and timely analyze coverage, draft coverage position letters and instruct and collaborate with counsel regarding litigation and coverage strategies, negotiate and resolve claims and otherwise act within the scope of delegated authority.
• Compliance with multi-state adjuster licensing requirements.

• Position requires the ability to quickly and accurately read, comprehend, analyze and produce written materials and to use a computer for long periods of time. Some travel required.