Jobs and Careers
CO
Sr Casualty Claims Specialist
Coterie InsuranceRemote (United States), United StatesRemotefull_timeVerifiedPosted 12 Sept 2024
💰 $95,000/yr($75,000/yr – $95,000/yr)
About the role
About Coterie Applications Inc.
Our HQ is in Blue Ash, Ohio (4455 Carver Woods Dr, Blue Ash, OH 45242), but we operate as a 100% digital business which makes it easy to work remotely as your role allows
What will the Sr Casualty Claims Specialist Do?
- Develop and implement strategy to resolve Commercial Casualty, General Liability, and Professional Liability claims of moderate to higher levels of severity and complexity, but may be required to handle volume
- Coordinate and collaborate with cross-functional Coterie team members on process, product, project, insurance, and other global enterprise initiatives
- Investigate claim and review the insureds' and claimants materials, documents, reports etc.
- Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis
- Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care
- Analyze coverage and damages for purposes of estimating, assessing and recommending reserves
- Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to claims inquiries from insured, counsel, underwriters, brokers, and senior management
- Negotiate resolution of claims
- Assist in the development, shaping, adherence to, and execution of best practices
- Maintain vendors list for field investigators, appraiser’s, experts, fraud investigators and CAT alerts.
- Maintain contact and oversight with the TPA claim staff
- Work with underwriting on appetite selection, form development .
- Identify and review of each jurisdiction's applicable statutes, rules, and case law
- Analyze, and direct initial risk transfer, subrogation action, additional insured issues, and contractual indemnity issues, to ensure equitable contribution across all claim stakeholders
- Manage defense counsel for expense control and direct counsel in accordance with resolution strategy for optimum outcomes
- Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves
- Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter.
What you need to have:
- 7+ years of claims experience at a TPA, insurance company and/or insurance claims loss adjustment service provider resolving third party premise liability bodily injury claims and third party property damage claims.
- Experience with handling attorney represented, litigated third party premise liability claims, and third party property damage claims.
- Considerable working knowledge of insurance industry and insurance claims operations particularly around commercial property and casualty claims, policy construction, ISO Commercial BOP forms.
- Proper adjuster licensing in all applicable states.
- Legal concepts and processes knowledge base
- Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines
- Strong time management and organizational skills
- Ability to take part in active strategic discussions
- Excellent collaboration skills, self-motivated and willing to take initiative
- Able to understand and synthesize day to day work within the team into trends, themes, successes and opportunities over periods of time
- Strong negotiation and persuasion abilities
- Exceptional interpersonal and client service skills
- Detail oriented and superior organizational skills
- Team player with the ability to collaborate with others
- Ability to work independently, with support, in a fast-paced, evolving environment
- Hands-on experience and strong aptitud
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