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Atlanta

    Senior Complex Claims Specialist - Atlanta, United States - Berkley

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    Description

    Company Details:

    Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

    The Company is an equal employment opportunity employer.

    Responsibilities:

    Under limited supervision, investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and/or professional liability claims of high exposure and complexity.

    • Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.
    • Investigate and evaluate liability.
    • Investigate and evaluate damages.
    • Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
    • Establish timely reserves within authority and re-evaluate throughout the life of the claim.
    • Maintain up-to-date, appropriate file documentation and written file notes.
    • Maintain an active diary and productive file inventory.
    • Timely complete all required large loss reporting.
    • Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.
    • Proactively control the work product and expense of outside vendors.
    • Develop and maintain positive customer relationships and provide superior customer service.
    • Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.
    • Work with designated assigned accounts.
    • Recognize and investigate fraud.
    • Comply with deductible/self-insured retention recovery protocol.
    • Meet all State licensing requirements.
    • Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
    Qualifications:
    • Four (4) year College Degree, or commensurate experience and training.
    • JD preferred but not required.
    • Industry designations preferred (CRIS, AIC, SCLA, etc.)
    • 7-10 years of complex claims handling experience, including General Liability, Excess, and Professional Liability claims.
    • In-depth knowledge of the insurance industry, including legal and regulatory environments.
    • Specific knowledge and expertise in New York Labor law and construction related claims preferred.
    • Prior experience as a claims manager is a plus but not required.
    Additional Company Details:
    We do not accept any unsolicited resumes from external recruiting 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 Details:
    Sponsorship not Offered for this Role

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