Description:

Responsibilities:
A Commercial Lines Property & Casualty Insurance Holding Company is seeking a highly accomplished, customer service-oriented claims counsel to deliver superior claim results through the thoughtful execution of best practices in managing high exposure and complexity. These include professional liability, sexual abuse and high-exposure personal injury claims. This individual is expected to exercise significant judgment but will work within a highly collaborative team that most enjoys the problem-solving aspects of our work.

Investigate assigned claims through application of defined best practices. Actively develop information on reported claims, including specific facts of case, nature and extent of injury, standard of care and causation defenses, venue specific factors and other characteristics that impact claim severity.

Evaluate information obtained through claim investigations and estimate damage ranges for purposes of prompt identification of claims with potential excess exposure; apply ongoing triage rules to determine proper severity and assignment levels.
Directly manage and actively intervene on the most technically complex and highest severity claims within company inventory.
Timely recognize and evaluate claim exposures to establish accurate case reserves.
Execute effective claim adjudication strategies/tactics to help achieve optimal outcomes on exposures within and in excess of account retentions.
Cultivate strong business relationships with key personnel within current accounts, brokerage community, and law firms across the country.
Maintain effective working relationships with Underwriting, Risk Management, and Actuarial partners.
Aid in the development and modification of claim management practices, policies and procedures in furtherance of continuous process improvement culture.
Assist Underwriting and Actuarial in risk selection and pricing accuracy through claim due diligence for new and renewal business.
Utilize customer service skills with client contacts to advance business opportunities:

Identify service needs for claim, risk management and data mining strategy;
Understand renewal strategy;
Extend discussion with client beyond claim transaction and toward potential needs not immediately recognized by the decision maker;
Communicate effectively with team members.

Develop, or assist with development, of claims marketing content and utilization of content for marketing purposes.
Serve as mentor for claims associates and claims specialists; provide technical advice
Work with other departments on special projects or assignments
Maintain all State licensing requirements

May perform other functions as assigned.

Qualifications:

Bachelor's degree from four-year college or unversity; J.D. preferred.
15 years related experience handling claims.
Experience servicing professional liability and high-exposure bodily injury lawsuits is preferred.
Advanced knowledge of legal terminology and concepts.
In-depth understanding of industry best practices for adjudicating claims.
Proficiency with insurance contract interpretation and coverage issues.
Proficiency with Microsoft Office applications.
Willingness to travel up to 25% of the time.
Occasional evening and weekend work is required.