General Liability Litigation Consultant / Senior Claim Representative - Western/Eastern Region

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We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.          

The General Liability Litigation Senior Claim Representative or Consultant is accountable for delivering superior customer service and successfully investigating, reserving, recommending and implementing strategies to resolve claims consistent with corporate claim standards, policies and procedures and statutory, regulatory and ethics requirements.  The selected candidate will partner with Staff Legal and outside counsel to resolve General Liability cases including: Premise Liability, Operations Claims, Product Liability, Professional Claims, Advertising Injury claims, Homeowner Liability, Employment Liability exposures and others.  Additional key responsibilities are as follows:

Claim File Management

• Plan, recommend, reserve and execute file strategies including investigation, valuation, disposition and settlement of assigned claims, in a manner consistent with corporate claim settlement policies and procedures, and statutory, regulatory and ethics requirements

• Properly assess the exposure of assigned claims.  Plan and organize, establish priorities, anticipate issues, determine realistic completion dates, know and communicate the status of assignments, appropriately manage vendors

• Develop advanced functional knowledge to appropriately interpret and apply insurance coverage.  Develop technical and jurisdictional expertise

• Maintain current knowledge of claim loss cost management initiatives, and utilize them appropriately and in a manner consistent with company practices and procedures

• Identify and properly mitigation, subrogation, and other recovery opportunities

Customer Service

• Maintain dedication to meeting or exceeding expectations and requirements of internal and external customers

• Obtain first-hand customer information; use it for improvements in products and services

• Establish and maintain effective relationships with customers, gaining their trust and respect.  Demonstrate diplomacy and tact to effectively avoid or diffuse high-tension situations   

Business Acumen and Technical Expertise

• Utilize verbal and numerical critical thinking skills to gather information, apply sound reasoning and draw appropriate conclusions; make sound decisions based upon mixture of analysis, experience and judgment

• Accurately resolve complex coverage and compensability issues

• Possess the ability to investigate, evaluate and negotiate highly complex claims to appropriate disposition

• Possess superior analytical and critical thinking skills; expert knowledge of complex medical terms, excellent time management abilities

• Possess the advanced technical knowledge to properly reserve highly complex claims

• Properly apply statutory laws and regulations of applicable jurisdiction

• Demonstrate advanced expertise to utilize claim management practices to effectively manage loss costs

• Expertly contribute to loss cost management by recognizing potential for Subrogation and Special Investigation

 

Teamwork and Team Building

• Support and help create a team environment that celebrates diversity and inclusion

• Support and assist in building a high performing team with diverse characteristics, where individual differences are valued

• Build appropriate rapport and constructive and effective relationships with people inside and outside the organization

Location: Remote / Virtual Training

Start Date: Open

Hours: 8:00 AM- 5:00 PM (Core Business hours) Monday-Friday

Qualifications

• 2 to 5+ years relevant e