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Claims Manager - Bodily Injury The candidate guides and directs the operations of the Claims Team in conducting the investigation, evaluation and disposition of claims and suits brought against James River Insureds. Each Claims Team supports multiple Underwriting Divisions. Reporting to the Claims Manager are Claims Examiners, Senior Claims Examiners and Claims Specialists, each of whom handles claims within one or more line(s) of business. Functions with autonomy to conduct team meetings, monitor caseloads, extend reserve and settlement authority and authorize referrals to both defense counsel coverage counsel when needed. Facilitates the setting of goals and objectives with direct reports, measures results and conducts annual performance reviews. Conducts monthly Claims Quality Reviews on at least two claim files for each claim handler. 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. Excellent oral and written communication skills to interact with the Claims Team, brokers, claimants, attorneys and policyholders regarding developments in the claim or suit. Ensures that all state regulations and internal guidelines are met by the team, and that each member of the Team manages claims and suits in accordance with James River Claims Best Practices. Functions with autonomy and is a key resource person on claims for the Underwriting Divisions they support. Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service. Supervises claim files handled by direct reports. Performs an initial analysis of coverage, liability and damages on all claims assignments. Reviews disclaimers and reservation of rights letters written by direct reports. Delegateâ€™s responsibility to assign claims to independent adjusters and to refer cases to defense attorneys. Negotiates some settlements directly and provides oversight for direct reports, who conduct negotiations, mitigate damages and control expenses. Oversees management of litigated files. Maintains a high level of communication with leadership. Works within authority limits and makes recommendations if higher authority is needed. Guides and directs the handling of complex high exposure claims and suits . Recognized as the key company claims contact within specialty area. Provides technical guidance, assistance and training as needed for claims staff and other departments. Assists the VP in managing the Claims Department. High School Degree required is needed. Bachelorâ€™s degree, Advanced degree or Law degree is preferred. Should have 7-10 years of automobile claims handling experience. Experience in working with complex coverage issues is needed. Multi-jurisdictional claims and litigation experience is essential. Adjuster license and/or certifications are desired. Thorough knowledge of claims, strong leadership skills, recognized ability to manage a team of Claims Professionals is needed. Excellent written and oral communication skill is essential. Strong analytical skill is essential. Must be able to lead, guide and direct a team and also take direction from VP Claims. Superior knowledge and skills in a variety of claims specialty areas is needed. Excellent record of achievements that clearly set the individual apart from others are essential.
Requisition ID : 1498
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