About the role

Third Party Administrator Consultant overseeing claims for The Hartford’s TPA partners, limiting exposure to risk on complex claims. Involves investigations, evaluations, litigation management, and reporting.

Responsibilities

Conduct investigations, analyze and evaluate information learned
Make coverage determinations and communicate written position(s) to insureds and other required parties
Within prescribed authority levels, set appropriate expense and indemnity reserves and monitor on a regular basis for any needed adjustment
Present cases to management for reserve authority above established authority levels
Develop and implement resolution strategies to achieve high quality outcomes
Proactively manage litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review
Attend trials and mediations as necessary
Contribute to broader claim and enterprise goals by participating in audits, projects and product development initiatives
Prepare comprehensive reports and deliver presentations to senior claim leadership on case developments, policy issues, industry trends, etc.
Provide assistance and expertise to TPAs with coverage and liability analysis, time limit demands, extra contractual exposure evaluations and other issues of complexity
Work with business partners to evaluate and address claim trends and developments
Address inquiries from agents and policyholders, providing superior customer service
Travel required up to 10% (must be approved by management)

Minimum of 8 years of functional claim experience in business/commercial auto or general liability required.
Experience in both business/commercial auto and general liability strongly preferred.
Excellent knowledge of all aspects of claim handling within business/commercial auto or general liability; specifically including large loss expertise and complex litigated coverage and liability matters required
Supervisory expertise and effective time management skills (i.e., ability to manage multiple TPA handlers, matters and priorities)
Ability and desire to mentor and coach
Experience handling Canadian claims, Michigan PIP claims, Property, Ocean Marine and/or Professional Liability claims a plus but not required
Excellent communication skills, both oral and written
Superior analytical ability, strategic thinking ability and execution skills
Strong negotiation skills and advanced technical claim handling skills
Ability to communicate thoughts clearly and concisely, and to influence and persuade others
Bachelor’s Degree or equivalent work experience required
Professional Designation such as CPCU, SCLA, or AIC preferred