- Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims.
- Determines coverage, drafts coverage correspondence, responds to coverage questions raised by insureds and others.
- Determines exposure, establishes adequate reserves, and makes timely adjustments as required.
- Selects, assigns and directs activities of internal and external resources as required; including vendors and attorneys. Identifies questionable claims and consults with SIU for further direction as appropriate.
- Determines settlement value of the loss and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
- Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate.
- Communicates as needed with underwriting business partners regarding claims trends and legal climate. Provides expertise and insight as requested relative to needed coverage changes or enhancements.
- Maintains a strong professional knowledge of regulatory and legal environments and applies this information effectively.
- Stays abreast of state license requirements and participates in continuing education as required.
- Will coach or train less experienced claim representatives.
- Develops and leads technical training and provides guidance to other departments within the organization, as needed.
- Must possess high level skills and extensive claims technical knowledge including products and industry. Legal climate background is essential for associated business unit.
- Must have superior analytical, negotiation, decision making, problem solving, organizational and presentation skills. Must be a proven self-starter with strong mulit-tasking and relationship management skills.
- Must be able to communicate professionally and effectively including expert oral, written and listening skills. Must be able to work both independently and as a member of a team and have the ability to interact with diverse groups of individuals.
- Must maintain a high level of accuracy and provide follow-through on projects.
- Requires the ability to maintain confidential information. Must be able to work in a fast pace and rapidly changing environment.
- Demonstrated proficiency with computer software including Microsoft Office suite and other Claims tracking tools.
- Must maintain strong professional knowledge of industry trends, legislative issues and the marketplace for associated line of business.
- Must be able to act as coach and mentor or junior members of the department.
- Bachelor's degree required; Juris Doctorate preferred.
- 7-10 years of progressively more complex, specialized claims handling experience.
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Claims Consultant - Minneapolis, United States - Intact Insurance
Description
Job DescriptionWe currently have an opportunity for a Claims Consultant to join our Technology Claims team in our Plymouth, MN office or remotely nationwide. This position is responsible for handling and resolving complex first- and third-party cyber, technology errors and omissions, life science product liability, and unusual large loss general liability claims nationwide and internationally. Responsibilities include analyzing and communicating complex coverage issues, developing timely evaluations and effective strategies to resolve these complex claims most efficiently, and ensuring the highest level of service and communication to our internal and external partners.
Responsibilities:
About Us
At Intact Insurance Specialty Solutions we are experts at what we do. Our deep understanding of the specialty insurance market is the foundation for our customized solutions, backed by targeted risk control and claims services. Our employees are passionate about providing insurance coverage that's aligned to our targeted customer groups. Today, we help protect over a dozen industries with tailored coverages and services.
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