Analyze reported lower - level general liability claims for Sedgwick. Ensure ongoing adjudication of claims within company standards and industry best practices while working in a hybrid schedule.
About the role
- Join Everest Insurance as a Claims Specialist II managing auto and general liability claims. Analyze coverage issues and develop claim strategies throughout the claims process.
Responsibilities
- Handle mainstream and moderately complex auto, general liability, and excess/umbrella liability claims
- Review and analyze complex coverage issues and prepare coverage position letters
- Investigate, analyze and evaluate liability and damages
- Manage and direct outside counsel
- Prepare case summary reports related to matters of significant reserve and trial activity
- Set timely and appropriate case reserves
- Develop and execute claim strategies as well as resolution strategies
- Negotiate and resolve cases
- Attend trials, mediations and settlement conferences
- Work with underwriters to support policy construction and drafting
- Report claim trends, data analysis, and risk assessments
- Communicate extensively with insureds, brokers, reinsurers, actuaries, and underwriters
- Attend client meetings and industry functions to support retention and development of client relationships and business
- Perform similar work-related duties as assigned
Requirements
- Strong analytical and organizational skills
- Excellent verbal and written communication skills
- Strong negotiation and investigation skills
- Ability to think strategically
- Ability to influence others and resolve complex, disputed claims
- In-depth knowledge of the litigation, arbitration, and trial process
- Currently holds or readily can obtain all required adjuster licenses
- Ability to identify and use relevant data and metrics to best manage claims
- Collaborative mind-set and willingness to work with people outside immediate reporting hierarchy
- Ability and willingness to present to senior management
- Knowledge of the insurance industry, claims process and legal and regulatory environment
- 3-5 years of claims handling experience or legal experience
- B.A. or B.S. required; JD helpful but not required.
Benefits
- health insurance coverage
- employee wellness program
- life and disability insurance
- 401k match
- retirement savings plan
- paid holidays
- paid time off (PTO)
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