Commercial GL & Auto Claims Specialist adjusting high complexity claims for an insurance company. Collaborating with agents and managing litigated files for resolution in a hybrid role.
Responsibilities
Provide quality investigation and analysis to adjust claims of high complexity/severity, including litigated files, to proper resolution
Promote the success of the organization through development of relationships with agencies, policyholders and employees
Serve as a relationship contact for assigned agent(s) related to all claims
Collaborate proactively with agents, policyholders and internal stakeholders on claims of high complexity/severity and provide strategic input on book of business
Investigate losses, identify coverage, evaluate liability and damages, review and analyze documents and legal pleadings independently
Collaborate with counsel to manage litigated claims and leverage past experience to analyze documents and legal pleadings
Develop plan of action to proactively conclude claims, timely evaluate damages, engage other parties in negotiations and settle claims pursuant to guidelines
Establish and maintain proper reserves for each claim to accurately reflect the financial exposure
Determine need for, identify and engage external resources as needed to execute proper resolutions while monitoring and controlling costs
Review and interpret commercial insurance policies and accordingly communicate coverage issues verbally and in writing
Participate on cross functional teams to identify and resolve issues and design and implement solutions to prevent future occurrence as necessary
Requirements
Bachelor’s degree or equivalent combination of education and experience
6 years of experience handling general liability and/or bodily injury claims of high level of complexity/severity
Experience with contractual indemnification and additional insured coverages
AIC or SLA certification preferred
Ability to obtain appropriate state licensing as required
Proficient computer skills required including Microsoft Office Suite
Demonstrated successful ability to build positive relationships and partnerships within department, across the organization and with external customers
Strong analytical skills and attention to detail
Excellent verbal and written communication skills with the ability to interact with internal and external customers
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