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Years of Experience
Date Last Verified
ProfileMajor Case Director Responsibilities: Handles highly complex exposure claims based on Claim Guidelines. Directs and manages use of independent investigators, appraisers, and experts. Selects, directs and manages defense counsel including approval of budgets Develops litigation/file disposition strategy. Attends mediations, settlement conferences and trials. Reports to reinsurers as required by reporting guidelines. Assist Sr. Claim specialists with analysis of claim issues as needed. Verifies/analyzes applicable coverage for the reported loss. Establishes 24-hour contact and maintain appropriate contact with all involved stakeholders throughout the life of the claim file. Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, reviewing and analyzing reports and related bills. Identifies and addresses subrogation/contribution/SIU opportunities. Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines. Evaluates, negotiates, and authorizes settlements with all stakeholders within designated authority. Selects, directs and manages Vendors/Counsel including approval of defense budgets. Negotiates directly with claimants and claimant attorneys upon receipt of critical information. Drafts correspondence, including but not limited to, coverage letters to stakeholders as required. Maintains resident/nonresident adjuster licenses as required. Performs other duties as assigned.
Qualification and Experience
Qualifications: Bachelors’ degree with 12+ years of overall experience in the insurance industry or equivalent. Law degree preferred in lieu of adequate experience. CPCU and other insurance related studies are beneficial. 5+ years liability claim experience, which focused on claims with an exposure of $250,000 or more including both primary and excess losses. Excellent coverage analysis skills with experience in drafting coverage position correspondence. Extensive experience working with general liability, garage, and trucking coverage issues a plus. Experience handling litigated files and direction of defense counsel. Excellent negotiation skills. Must be able to travel, average 4 days a month. Licensure as required by respective state(s). Excellent oral and written communication skills. Ability to organize, multi-task and prioritize work. Excellent customer service and interpersonal skills. Ability to analyze data, utilize sound judgment to draw conclusion and make supported decisions.
Requisition ID: 1225