Senior Claims Specialist managing complex Primary and Excess Management Liability claims at Everest. Focused on analyzing coverage issues and collaborating with legal teams effectively.
Responsibilities
Reviewing and analyzing complex coverage issues and preparing coverage positions letters
Investigating, analyzing, and evaluating liability and damages
Managing and directing outside counsel; reviewing & approving legal budgets and fee statements
Preparing Large Claim Reports related to matters of significant reserve and trial activity
Timely and appropriately setting case reserves
Developing and executing negotiation and resolution strategies
Monitoring and attending trials, mediations and settlement conferences
Engaging with underwriting supporting policy construction and drafting, reporting claim trends, data analysis and risk assessment
Extensive communications with insureds, brokers, reinsurers and other business contacts
Attending client meetings and industry functions to support retention and development of client relationships and business.
Requirements
Minimum of 3-5 years of Management Liability claims experience
J.D. (currently licensed) / experience practicing law preferred
Strong oral and written communication skills
Strong analytical and organizational skills
Strong negotiation and investigation skills
Excellent interpersonal skills
Ability to evaluate coverage involving a wide variety of loss scenarios and ability to think strategically
In-depth knowledge of the litigation, arbitration, and trial process
Currently holds or can readily obtain all required adjuster licenses.
Knowledge of the insurance industry, claims and the insurance legal and regulatory environment
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 to improve processes and generate optimal department efficiency
Ability to and willingness to present to senior management and other stakeholders
Claims Coordinator responsible for managing customer - related claims at Mohawk Industries. Collaborating with teams to ensure a smooth claims process while providing excellent customer service.
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.
Claims Examiner for Sedgwick adjudicating complex workers' compensation claims within service expectations. Join a company recognized for its caring culture and work - life balance.
Claims Representative using claims systems to manage diary and handle auto claims. Conducting investigations, confirming coverage, and negotiating settlements with various stakeholders.
Senior Workers' Compensation Claims Adjuster handling loss time claims across jurisdictions. Working primarily in California and managing investigations and litigation.
Claims Adjuster managing and processing claims related to windshield repair and replacement. Interacting with customers and coordinating with repair facilities for efficient claims handling.
Claims Examiner adjudicating complex workers' compensation claims at Sedgwick. Analyzing claims, negotiating settlements, and managing resolutions for clients in various industries.
Field Claims Specialist inspecting large and complex property claims for Intact, providing customer service and conducting investigations on - site. Collaborating with various teams and adhering to company standards.
Claims intern role at Auto - Owners Insurance investigating policy coverage and assessing loss amounts. Assisting claims resolution and ensuring accurate payments while studying insurance policies.