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ProfileClaims Manager The candidate will guide and direct the operations of the Claims Team in conducting the investigation, evaluation and disposition of claims and suits brought against the company. Function with autonomy to conduct team meetings, monitor caseloads, extend reserve and settlement authority and authorize referrals to both defense counsel coverage counsel when needed. Facilitate the setting of goals and objectives with direct reports, measures results and conducts annual performance reviews. Conduct monthly Claims Quality Reviews on at least two claim files for each claim handler. Review and assign all newly reported claims and suits to direct reports. Provide guidance and direction for all of the following activities: Analysis of coverage issues and taking appropriate action; Analysis of the facts and allegations to determine the extent of liability; Evaluation of causation and damages to determine potential exposure; Setting appropriate reserves to reflect probable outcome; Taking appropriate action to move the case toward resolution through alternative means, i.e., mediation, arbitration, trial, settlement. Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service. Supervise claim files handled by direct reports. Perform an initial analysis of coverage, liability and damages on all claims assignments. Review disclaimers and reservation of rights letters written by direct reports. Delegate responsibility to assign claims to independent adjusters and to refer cases to defense attorneys. Negotiate some settlements directly and provides oversight for direct reports, who conduct negotiations, mitigate damages and control expenses. Oversee management of litigated files. Maintain a high level of communication with leadership. Work within authority limits and makes recommendations if higher authority is needed. Guide and direct the handling of complex high exposure claims and suits. Provide technical guidance, assistance and training as needed for claims staff and other departments. Assist the VP in managing the Claims Department. A College degree required. Advanced degrees or Law Degree preferred. 7 – 10 years of claims handling experience required. Extensive expertise in specific specialty area of claims (i.e. PL, GC, M&C) and experience in working with complex coverage issues required. Multi-jurisdictional claims and litigation experience and adjuster license and/or certifications preferred. Thorough knowledge of claims, strong leadership skills, recognized ability to manage a team of Claims Professionals required. Excellent written and oral communication skills required.
Job ID: 2017-18