- The successful candidate will have significant commercial general/auto liability complex/large exposure claim handling experience, a passion for achieving excellent claim results and for delivering exceptional customer service.
- Responsibilities include, actively managing and effectively overseeing large exposure and complex general/auto liability and trucking claims (primary, umbrella and excess) direct handled by Third-party Administrators ( "TPA's") and supporting Client business stakeholders.
- Please note this role does not require managing any direct reports but is responsible for managing the claims & TPA process.
- Deliver industry leading technical claim handling/oversight, claim outcomes, business support and customer service. Make claim services a Client competitive advantage.
- Collaborate with TPA team members, Client Claim Account Managers ( "CAM's") and other claim professionals to proactively develop and effectively execute on appropriate claim resolution strategies
- Work closely with underwriters, Legal, Operations, claim professionals, and other Client functions, to ensure timely and effective communication consistent with Client Claims' Procedures, striving to achieve optimum claim outcomes
- Effective and timely communication with insureds and brokers; making exceptional customer service a top priority
- Coverage analysis, investigation, liability and damage evaluation, timely and accurate indemnity and expense reserving (within specific granted authority), litigation management, vendor management, settlement negotiations, including use of structure settlements where appropriate, and claim resolution
- Effective claim file documentation, claim coding and diary management
- Retain and work closely with defense and coverage counsel to create and execute on litigation/coverage strategies and budgets. Analyze and pay legal bills, consistent with claims specific strategy/budget and Client Claims Litigation Management Guidelines
- Effective and timely claim reporting (verbal and written) to other claim professionals/management and business stakeholders, per Client Claims Procedures
- Attend mediations, trials, other proceedings and meetings
- Maintains all required state adjustor licenses
- Assist CAM's and others with TPA management and oversight to include:
- TPA claim staff training relating to Client processes, procedures, expectations, reporting, technical claim handling, litigation/vendor management, legal/regulatory developments, customer service and other topics that may arise
- Sharing of claim handling/customer service best practices
- Assistance with claim file reviews and claim audits
- Regular meetings with TPA claims staff
- Minimum of 10 years commercial general/auto liability claim handling experience, including responsibility for complex and large exposure claims, or insurance defense/coverage practicing attorney with similar law firm experience.
- Trucking, construction, emergency service/medical professional liability claim handling experience is a plus
- TPA management/oversight experience is a plus
- Excellent customer service skills and service minded
- Strong analytical and problem solving skills
- Strong negotiation skills
- Exceptional communication (written and verbal), collaboration, influencing, listening, and interpersonal skills to effectively develop productive working relationships both within and outside Client
- Able to process large amounts of complex information, distill it down to key issues and decision points and concisely communicate the information verbally and in writing
- Able to effectively lead strategic discussions and leverage technical knowledge to make sound, cost-effective decisions and recommendations
- Able to work well independently and in a highly collaborative team environment
- Adaptable and able to succeed in a rapidly changing workplace
- Strong Microsoft Excel, PowerPoint and Word skills
- Willing and able to travel approximately up to 10% of time
- Note, this is an individual contributor role
- Juris Doctorate desired, but not required
- 401k Retirement Savings Plan administered by Merrill Lynch
- Commuter Check Pretax Commuter Benefits
- Eligibility to purchase Medical, Dental & Vision Insurance through Eclaro
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Sr. Claims Examiner - Jersey City, United States - Eclaro
Description
Senior Claims ExaminerJob Number:
Ready for a rewarding opportunity in the Financial Services Industry? Eclaro is looking for a Senior Claims Examiner for our client in Jersey City, NJ.
Eclaro's client is a market-leading insurance company, providing property, casualty, and specialty insurance services within the United States. If you're up to the challenge, then take a chance at this rewarding opportunity
Position Overview:
Responsibilities:
Ivy Espaola
Ivy Espaola | LinkedIn
Equal Opportunity Employer: Eclaro values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
