- Investigate assigned claims through application of defined best practices. Actively develop information on reported claims, including specific facts of case, nature and extent of injury, standard of care and causation defenses, venue specific factors and other characteristics that impact claim severity.
- Evaluate information obtained through claim investigations and estimate damage ranges for purposes of prompt identification of claims with potential excess exposure; apply ongoing triage rules to determine proper severity and assignment levels.
- Directly manage and actively intervene on the most technically complex and highest severity claims within company inventory.
- Timely recognize and evaluate claim exposures to establish accurate case reserves.
- Execute effective claim adjudication strategies/tactics to help achieve optimal outcomes on exposures within and in excess of account retentions.
- Cultivate strong business relationships with key personnel within current accounts, brokerage community, and law firms across the country.
- Maintain effective working relationships with Underwriting, Risk Management, and Actuarial partners.
- Aid in the development and modification of claim management practices, policies and procedures in furtherance of continuous process improvement culture.
- Assist Underwriting and Actuarial in risk selection and pricing accuracy through claim due diligence for new and renewal business.
- Utilize customer service skills with client contacts to advance business opportunities:
- Identify service needs for claim, risk management and data mining strategy;
- Understand renewal strategy;
- Extend discussion with client beyond claim transaction and toward potential needs not immediately recognized by the decision maker;
- Communicate effectively with team members.
- Develop, or assist with development, of claims marketing content and utilization of content for marketing purposes.
- Serve as mentor for claims associates and claims specialists; provide technical advice
- Work with other departments on special projects or assignments
- Maintain all State licensing requirements
- Bachelor's degree from four-year college or university; J.D. preferred.
- 15 years related experience handling claims.
- Experience servicing professional liability and high-exposure bodily injury lawsuits is preferred.
- Advanced knowledge of legal terminology and concepts.
- In-depth understanding of industry best practices for adjudicating claims.
- Proficiency with insurance contract interpretation and coverage issues.
- Proficiency with Microsoft Office applications.
- Willingness to travel up to 25% of the time.
- Occasional evening and weekend work is required.
-
Sr. Claims Counsel
1 week ago
W.R. Berkley Corporation Hamilton Square, United StatesCompany Details · We are seeking an experienced, dynamic, creative and collaborative insurance professional and attorney who wants to join us in finding creative "outside the box" solutions to our customers needs when faced with challenging claims. At Berkley Human Services, a Be ...
-
Counsel, Claim Liability
2 weeks ago
020 Travelers Indemnity Co Blue Bell, United States Full timeWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a cultu ...
-
Counsel Claim Liability
3 weeks ago
Travelers Insurance Philadelphia, United States OTHERWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Senior Counsel Claim Liability
3 weeks ago
Travelers Insurance Blue Bell, United States OTHERWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Surety Claim Counsel Bond
3 weeks ago
Travelers Insurance Philadelphia, United States OTHERWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
-
Claim Counsel, Workers' Compensation
3 weeks ago
The Travelers Companies, Inc. Marlton, United StatesWho Are We? Taking care of our customers, our communities and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Compensation, Worker, Legal, Tra ...
-
Claims Counsel-Professional Liability Lines
3 weeks ago
General Search & Recruitment Princeton, United States Full time/Direct HireClaims Counsel-Professional Liability Lines · Princeton, NJ · Property and Casualty insurance carrier with national and global business isseeking a Claims Counsel-Professional Lines. · You will analyze and process complex andhigh exposure Financial Institutions (including Financ ...
-
The Travelers Companies, Inc. Marlton, United StatesWho Are We? Taking care of our customers, our communities and each other. Thats the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Workers Compensation, Associate, ...
-
Complex Claim Specialist
2 days ago
NJM Insurance Group Trenton, United States**Personal, compassionate service is what we're known for at NJM. We seek the best and brightest to help our customers when they need us most. As part of the NJM team, you'll not only enjoy some of the best benefits in the industry, you'll also be joining a company that's committ ...
-
Billing & Patient Care Specialist
6 days ago
Laurel Life Chambersburg, United States**Job Title**: Billing and Patient Care Specialist · **FLSA**: Non-Exempt · **Reports To**:Michelle Mong, CFO · **Department**:Billing · **Summary**: · The Billing and Patient Care Specialist is responsible for greeting visitors and patients; determining the reason for the visit; ...
-
Supervisor, Bankruptcy
1 day ago
Freedom Mortgage Trenton, United States**Summary** · The Supervisor, Bankruptcy is responsible for managing a Default Portfolio of Bankruptcy by Chapter filings and Bankruptcy work-flow to ensure Consumer Financial Protection Bureau (CFPB), investor and insurer guidelines are strictly followed to ensure mitigation of ...
-
Claim Director
1 week ago
Combined Insurance Philadelphia, United StatesChubb is seeking an experienced claims professional for our Excess Complex Casualty Claims team. As Claims Director, you will be responsible for investigating and settling high exposure, complex, high risk claims. Ensure high level of customer service and claim file quality. The ...
-
HR Business Partner, Operations
6 days ago
DSM Princeton, United States**HR Business Partner, Operations (Wisconsin Territory)** · **Germantown, WI (Area of coverage: Wisconsin Territory + South Bend, IN)** · The HR Business Partner, Operations is both a strategic and hands-on role. Proactive advisor and coach that provides full cycle Human Resource ...
-
Dental Billing Manager
1 week ago
DIRECT MOBILE DENTAL SERVICES INC Bala-Cynwyd, United StatesDirect Mobile Dental is based in Bala Cynwyd. Our team of dentists and support staff is the region's largest provider of long-term care facilities. Our dental office provides dental services to nursing home patients. We are looking for someone with Dental or Medical Insurance exp ...
-
Claim Director
1 week ago
Chubb Philadelphia, United StatesChubb is seeking an experienced claims professional for our Excess Complex Casualty Claims team. As Claims Director, you will be responsible for investigating and settling high exposure, complex, high risk claims. Ensure high level of customer service and claim file quality. The ...
-
Collector/business Office Float Ft
2 weeks ago
United Surgical Partners International Inc (USPI) Cherry Hill, United States**Millennium Surgical Center **has an immediate need for a full time Collector/Business Office Float. · **Job Summary**: Under the direction of the Business Office Manager, is responsible for covering any aspect of the business office necessary. Many duties includes scheduling, i ...
-
Operations Manager
1 week ago
Next Step Coaching and Counseling Philadelphia, United States**About the Role**: · **STRONGLY PREFER CANDIDATES WITHIN THE GREATER PHILADELPHIA, PA / DELAWARE VALLEY / SOUTH NEW JERSEY AREA** · Next Step Coaching & Counseling is seeking an Operations Manager, you will play a pivotal role in ensuring the smooth functioning of our coaching a ...
-
Benefits Specialist
2 weeks ago
Radwell Willingboro, United States**JOB SUMMARY** · **Monday-Friday 8am-5pm** · Assist department head in developing and administering the various benefit programs including health, dental, vision, disability, life, FSA and 401K as well as paying monthly premiums. Monitors processing of employee benefit claims, c ...
-
Corporate Counsel
2 weeks ago
Colliers Engineering & Design Holmdel, United StatesOverview: · Colliers Engineering & Design is seeking a Corporate Counsel to join our team The Corporate Counsel serves in the capacity of legal expert for matters pertaining to developing project contracts, contractual disputes, and formal claims and litigation. · **Responsibilit ...
-
Attorney
2 weeks ago
State Farm Philadelphia, United States Full timeOverview · We are not just offering a job but a meaningful career Come join our passionate team · As a Fortune 50 company, we hire the best employees to serve our customers, making us a leader in the insurance and financial services industry. State Farm embraces diversity and inc ...
Sr. Claims Counsel - Hamilton Square, United States - Berkley
Description
We are seeking an experienced, dynamic, creative and collaborative insurance professional and attorney who wants to join us in finding creative "outside the box" solutions to our customers needs when faced with challenging claims. At Berkley Human Services, a Berkley Company, we insure those who serve others. We are devoted to meeting the needs of Human Services Organizations. We insure both nonprofit and for-profit social service organizations, such as child daycare, group homes, senior citizen centers, senior independent living, counseling services, YMCAs, YWCAs, and Boys & Girls Clubs. Berkey Human Services sees empathy and understanding as critical skills and brings both a start-up mindset as well as the financial backing of a Fortune 500 company.
We understand that the social service organizations we serve are in a state of rapid change shaped by evolving social perceptions, legal developments, public welfare and social economics. All of these reflect in unique dynamics to the risks they face. We apply carefully crafted insurance solutions to traditional insurance products and embrace the current complexity of the social service community.
Founded in 1967, W. R. Berkley Corporation is an insurance holding company that is among the largest commercial lines writers in the United States and operates worldwide. Each of the operating units within Berkley, participates in a niche market requiring specialized knowledge about a territory or product.
Our competitive advantage lies in our long-term strategy of decentralized operations, allowing each of our Berkley companies to identify and respond quickly and effectively to changing market conditions and local customer needs. This decentralized structure provides financial accountability and incentives to local management and enables us to attract and retain the highest caliber professionals. We have the expertise and resources to utilize our strengths in the present environment, and the flexibility to anticipate, innovate and respond to whatever opportunities and challenges the future may hold.
Our insurance policies are written through our Berkley affiliates, each of which is rated A+ (Superior) by A.M. Best Company with a Financial Category of XV. We offer property and casualty coverages designed for the unique operational aspects of social service organizations. Our Human Services Program dates to 1989 and has continuously evolved to meet the unique needs of the market we serve.
Berkley Human Services is seeking a highly accomplished, customer service-oriented claims counsel to deliver superior claim results through the thoughtful execution of best practices in managing high exposure and complexity. These include professional liability, sexual abuse and high-exposure personal injury claims. This individual is expected to exercise significant judgment but will work within a highly collaborative team that most enjoys the problem-solving aspects of our work.
May perform other functions as assigned.
The Company is an equal employment opportunity employer
We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Sponsorship not Offered for this Role
