- 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.
- 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.
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Senior Complex Claims Specialist - Atlanta, United States - Berkley
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.
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