We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Effectively and clearly communicates coverage positions to brokers and policyholders. Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establishes actions to be taken to resolve lawsuit. Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations. Participates in customer claim reviews as needed. Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit. Responsible for managing the practices and billing activities of outside counsel. Accountable for security of financial processing of claims, as well as security information contained in claims files. Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Workers Compensation Examiners, Underwriting, Service, Reinsurance, Etc.). Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to Employers Liability-related issues to Claims Management so appropriate action can be taken where required. Participates in special projects. Bachelor's degree and 5 to 7 years claims adjusting experience. Advanced knowledge of commercial casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly. Must be willing and able to travel as needed to attend activities related to litigation, team and customer meetings, and other, which may include overnight travel. 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Makes effective use of loss management techniques (e.g. Immediate Contact Plan, L9 check, Disability Management, open end release, first call settlements) and other resources. Updates files and provides comprehensive reports as required. 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As required, maintains insurance adjuster licenses. Bachelors' and/or advanced degree; J.D. preferred. 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred. Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge. Functional knowledge of law and insurance regulations in various jurisdictions. Demonstrated advanced verbal and written communications skills. 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Working with Claims Enablement Strategy Directors, Claims Field Leaders, and UW partners to identify critical business questions that would value from deep Claims analysis and prioritize work based on expected impact of analysis. Set standards of what \"great\" Claims/UW analytical work looks like to ensure maximum impact of insights delivered. Develop deep expertise of Claims data gained through understanding of the history of our business mix, operational and organizational strategy, and environmental factors impacting the Casualty lines. Communicate with senior leadership and audiences of varying size, level, and exposure to drive collective and organizationally aligned action. Effectively build content that translates analysis into insights for audiences with varying levels of technical experience. Craft presentations that clearly articulate findings, insights, and recommendations. Develop and maintain high performing talent of the team. Advanced knowledge of data sources, tools, software applications, and business drivers. 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(max-width:989px){#advanced_menu_toggle[data-av_icon]:before{font-size:30px;font-weight:normal;font-family:'FontAwesome'!important;} #advanced_menu_toggle{border-width:0px;} .container{padding:0 30px;} .responsive .logo{padding-top:10px;} } .main_menu .current_page_item a .avia-menu-text{border-bottom:0!important;} @media screen and (max-width:767px){.rem-arrow a:before{content:' '!important;} .responsive #top #wrap_all .container{width:92%;max-width:92%;} #advanced_menu_toggle{left:0;right:auto;border-width:0px;} .responsive #top .logo{margin:0 auto;width:150px;} .responsive .logo img{max-height:40px;margin:0 auto!important;} #header_main{border-top:0;} } @media screen and (min-width:1024px){li#menu-item-13649 ul.sub-menu{left:207px!important;} li#menu-item-13649.dropdown_ul_available>a::after{font-family:FontAwesome;position:absolute;left:auto;margin:0 5px;font-size:10px;} } #top a:focus{outline-offset:-2px!important;opacity:1!important;} .inner-container a:focus{outline-offset:-5px!important;} @media screen and (min-width:768px) and (max-width:1024px){.header_color .main_menu ul:first-child>li>a{font-size:12px!important;} } #top .main_menu .av-main-nav ul ul{border:0!important;padding-top:0px;position:static;display:block!important;border-bottom:1px solid #000!important;overflow:hidden;background-color:transparent!important;} #top .main_menu .av-main-nav ul ul li a{padding-left:35px;font-size:12px!important;padding-top:5px;padding-bottom:5px;background-color:rgba(255, 255, 255, 0.7)!important;} #top .main_menu .av-main-nav ul ul li a:hover{background-color:rgba(232, 232, 232, 0.7)!important;} .av-main-nav ul li:last-child>a{border:none!important;} #top .main_menu .av-main-nav ul ul{border-bottom:0px solid #000!important;} } .navbar{display: none!important;} .logo{padding-right:60px!important;} #menu-item-973:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-11981:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1136:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1435:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-3937:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-12966:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} .fa-brands{-webkit-font-smoothing: antialiased; font-style: normal; font-variant: normal; line-height: 1; text-rendering: auto;font-family: 'Font Awesome 6 Brands'} .position-details li{list-style-type: disc;} .header-wrapper{display:none!important;}.disability p {text-align:center!important;background-color:#F0F0F0!important; height:45px!important;padding-top:12px!important;} .disability a {color:blue!important;text-decoration:underline!important;} @media only screen and (max-width: 1325px){.disability p {height:67px!important;}} @media only screen and (max-width: 675px){.disability p {height:92px!important;}} @media only screen and (max-width: 480px){.disability p {height:114px!important;}}h4{margin-top: 5px;font-weight: 600;}