- Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant external parties.
- Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution.
- Demonstrate understanding of medical terms, medical treatment and injury descriptions.
- Demonstrate collaborative efforts in managing the litigation process with outside defense counsel.
- Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves.
- Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant external parties.
- Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution.
- Recognition and evaluation of potential exposures under the policy to establish timely, adequate reserves.
- Manage the claim authorization process and negotiate claims with significant complexity.
- May be deposed or testify in claims negotiations or trials.
- 12+ years of multi-line experience including high severity bodily injury claims.
- Must possess a current Texas claims adjuster license; additional licenses a plus.
- Litigation experience required.
- Bachelors Degree required or equivalent work experience.
- Multi-jurisdictional experience preferred.
- Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws
- Negotiation and settlement skills.
- Ability to follow detailed procedures and ensure accuracy in documentation and data.
- Excellent written and verbal communications; with ability to listen well.
- Uphold a high standard of customer service.
- Ability to use a win-win approach to resolve controversy.
- Recognizes differences in opinions and misunderstandings and encourages open discussion while working towards resolution.
- Accepts individual responsibility for all actions taken. Holds self and others accountable to the organization and stakeholders.
- Strong computer proficiency necessary.
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Sr. Technical Claims Specialist - Houston, United States - Berkley
Description
Company Details:
Berkley Oil & Gas, (a W.R. Berkley Company) is an insurance underwriting manager providing unique property and casualty products and risk services to customers engaged in the energy sector. Our customers recognize the importance of the expertise we provide and appreciate the opportunity to work with professionals who understand their business. We are in turn committed to delivering innovative products and exceptional service to them, our valued agents and brokers, Berkley Oil & Gas is dedicated in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the oil patch, and to constantly seek ways to improve our products and services to meet customer needs.
Company URL: https://berkleyoil-
The company is an equal opportunity employer.
Responsibilities:The Senior Technical Claim Specialist position will be responsible for handling, negotiating and resolving third party commercial general liability and automobile bodily injury and property damages claims to conclusion. This would include coverage verification, policy interpretation, contract interpretation, liability investigation and evaluation and negotiation of claims consistent with company policies and state regulations.
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 which for this role include:
Base Salary Range: $90,000 $170,000
Eligible to participate in annual discretionary bonus.
Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
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.
The application window for this role is estimated to be open through June 1, 2024, but may be extended, if necessary, please submit your application as soon as possible prior to June 1, 2024.
Sponsorship Details:
Sponsorship not Offered for this Role