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Years of Experience
Date Last Verified
ProfileClaims Consultant The candidate: Makes timely and appropriate contacts and completes appropriate level of investigation to make determination of coverage, liability and damages for very complex and specialized claims. Determines coverage, drafts coverage correspondence, responds to coverage questions raised by insureds and others. Determines exposure, establishes adequate reserves and makes timely adjustments as required. Selects, assigns and directs activities of internal and external resources as required; including independent adjusters, appraisers and attorneys. Identifies questionable claims and consults with SIU for further direction as appropriate. Determines settlement value of the loss and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level. Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity as appropriate. Communicates as needed with underwriting business partners regarding claims trends and legal climate. Provides expertise and insight as requested relative to needed coverage changes or enhancements. Maintains a strong professional knowledge of regulatory and legal environments and applies this information effectively. Stays abreast of state license requirements and participates in continuing education as required. Develops and leads technical training and provides guidance to other departments within the organization, as needed. Must possess high level skills and extensive claims technical knowledge including products and industry. Legal climate background is essential for associated business unit. Must have superior analytical, negotiation, decision making, problem solving, organizational and presentation skills. Must be a proven self-starter with strong multi-tasking and relationship management skills. Requires the ability to maintain confidential information. Must be able to work in a fast pace and rapidly changing environment. Bachelor’s or equivalent experience degree required. Must have JD degree may be required depending on the needs and requirements of a business unit. Should have 7-10 years of progressively more complex, specialized claims handling experience. Experience with Directors and Offices and Employment Practice Liability Claims are needed.
Req Number: 632BR