Attorney in Downers Grove, IL

In-House

Downers Grove, IL

Attorney in Downers Grove, IL

Non-practicing Attorney

Min 6 yrs required

No

Job Title: Complex Claims Consultant (Lawyers/Architects & Engineers)

Job Responsibilities:
- Manage a portfolio of highly complex specialty claims with significant exposures, requiring advanced technical expertise and coordination.
- Deliver exceptional customer service by managing all aspects of the claim, maintaining professional interactions, meeting quality and cycle time standards, and providing timely updates.
- Verify coverage and set timely, adequate reserves by interpreting policy language, consulting coverage counsel on complex matters, and estimating claim value in accordance with company protocols.
- Lead targeted investigations to determine compensability, liability, and covered damages by gathering documentation, conducting interviews, and consulting experts as needed.
- Resolve claims through collaboration with internal and external partners, managing reserves, negotiating settlements, overseeing litigation, and authorizing payments within authority limits.
- Manage claim budgets by driving timely resolution, selecting appropriate resources, authorizing expenses, and ensuring efficient, high-quality service.
- Identify and address subrogation, salvage, or potential fraud by evaluating claim facts and referring to appropriate internal resources.
- Meet quality standards by managing claims in accordance with protocols, ensuring accuracy, timely documentation, and prompt resolution.
- Keep senior leadership informed of significant risks and losses by preparing loss summaries, maintaining oversight/watch lists, and presenting concise updates.
- Maintain subject matter expertise and ensure regulatory compliance by adhering to company guidelines and staying current on relevant laws and trends.
- Mentor and train less experienced claim professionals, fostering development and knowledge sharing.
- May perform additional duties as assigned.

Education & Experience:
- .
- Typically a minimum of six years of relevant experience, preferably in claim handling.
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
- Prior negotiation experience.
- Professional designations preferred (., CPCU).

Skills, Knowledge & Abilities:
- In-depth knowledge of specialty, commercial, and excess insurance products, policy language, coverage, and claims practices.
- Strong verbal and written communication skills, with the ability to clearly convey business and technical information.
- Proven analytical and critical thinking skills, with the ability to investigate, evaluate, and resolve complex, ambiguous business issues.
- Strong work ethic with effective time management and organizational skills.
- Ability to thrive in a fast-paced environment while maintaining high productivity.
- Skilled in negotiating complex settlements.
- Experience interpreting complex commercial insurance policies and coverage terms.
- Ability to manage shifting priorities in a dynamic, fast-paced environment.
- Proficient in Microsoft Office Suite with the ability to quickly learn business-specific software.
- Values diverse perspectives and fosters inclusive collaboration.

Salary Information:
- In Illinois/New York/California, the average base pay range for a Complex Claims Consultant is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications, and location.
- In certain jurisdictions, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications, and location.
- Company offers a comprehensive and competitive benefits package to help employees and their family members achieve their physical, financial, emotional, and social wellbeing goals.

The position is available in any location near a company office and offers a flexible, hybrid work schedule. The company is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process.