Claims Specialist III - E&S Specialty

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This is a potential work-from-home opportunity on the Contract Claims (Excess & Surplus) Team. Qualified Candidates MUST HAVE General Liability experience and outstanding customer service skills. Coverage B experience is a plus, but not required.
Investigates, evaluates, and resolves commercial, and professional lines claims and lawsuits of a severe and complex nature, or from a specialty line or program of significant value to the organization. File inventory typically includes litigation and complex coverages. May assist in the coaching, training and mentoring of individual team members. May act as a subject matter expert in a particular line of business or risk. Has contact with external customers which involves maintaining, developing and influencing relationships with major customers or key business partners.
Job Description
Reporting Relationships: Reports to E&S/Specialty Claims Manager, E&S/Specialty Senior claims Manager.
Core Duties and Responsibilities:
Investigates, evaluates, and negotiates severe and complex claims and litigation to a successful resolution and in compliance with company quality standards. This may include such claims as arson, fraud, excess/umbrella, Directors and Officers, medical and legal malpractice, governmental liability, products and completed operations, premises bodily injury of a complex and severe nature.
Responsible for managing the work and performance of vendors to achieve successful resolution of claims.
Is responsible for meeting the expectations and requirements of internal and external customers.
May assist in the development, coaching, training and mentoring of individual team members. May act as a subject matter expert in a particular line of business or risk.
Responsible for developing and maintaining open and trusting working relationships with insureds in order to gather pertinent information.
Responsible for timely and appropriate evaluation of claims to identify and manage reserves in compliance with Company standards.
Maintains current knowledge of: all insurance lines; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and training sessions.
Performs other related duties as assigned.
Typical Skills and Experiences:
Education: High school diploma or GED Required. College degree preferred. Additional education in a particular line of business may be required by the hiring business unit. Insurance coursework preferred.
Licenses/Registrations/Designations: Associates must obtain the required Federal and/or state licenses/registrations within the time period designated by the business unit. Additional licenses/registrations may be required when new products and services are implemented. If an associate fails or is unable to obtain required licenses/registrations within the time period designated by the business unit, the associate will be ineligible to continue in the position.
Completion of insurance courses such as IIA, AEI, or CPCU preferred.
Experience:Five years claims handling experience or comparable work experience preferred Prior experience in directing defense counsel preferred.Prior experience with complex coverage issues and reinsurance reporting required. Prior multi-jurisdictional, E&S or other specialty lines experience preferred. Specific experience in a particular line of business may be required by the hiring business unit.
Knowledge, Abilities, and Skills: Specific knowledge in a particular line of business and/or additional education may be required by the hiring business unit. Familiarity with various types of insurance policies preferred. Knowledge of the processes of the independent adjusters and attorneys in order to manage claims and assist in litigation management.
Working Conditions:
Overtime Eligibility: Not Eligible (exempt)
Working Conditions: Normal office environment. Travel as necessary.
ADA:The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties.
Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.
Additional Job Description
Commercial General Liability Experience
Job ID: 53627

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