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Years of Experience
Date Last Verified
Claims Counsel- EPL The candidate will under limited supervision handle Corporate EPL and Life Agent claims of moderate to high value and complexity. Will resolve claims according to Best Practices and within authority limits. Regularly communicate with customers and brokers and may be dedicated to handle claims for specific accounts. Analyze coverage, liability and damages. Participate in mediations and negotiating settlements. Draft reservation of rights and coverage denial letters. Notify Underwriter of claim issues. Draft case summary reports in connection with significant reserve increases and trial preparation. Direct activities of defense counsel.
Qualification and Experience
The candidate should have Juris Doctor degree and 5+ years of experience in the Claims or Litigation area OR Bachelors Degree and 6 or more years of experience in the Claims or Litigation area OR High School Diploma or Equivalent and 8 +years of experience in the Claims or Litigation area OR Must have Associate Degree and 6 + years of experience in the Claims Handling area within the Insurance industry AND Must obtain and maintain required adjuster license(s). Knowledge of the insurance industry, claims and the insurance legal and regulatory environment is essential. Negotiation experience is essential. Customer service experience is essential. Microsoft Office experience is essential. Claims handling experience with 3+ years of experience in EPL and/or insurance coverage defense is preferred. Analytical skill is essential. Strong communication skill is essential. Organization and time management skill is essential. Experience collaborating across work groups is preferred. Insurance designations such as SCLA, CPCU, AIC is preferred. Must have experience reviewing complaints, arbitration demands, coverage analysis, determining exposure and setting appropriate reserves.
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