Claims Manager - Liability

SUMMARY

Responsible for managing, reporting, monitoring, mitigating and settlement of claims and litigation in multiple jurisdictions involving multiple lines of insurance relating thereto; including primarily General Liability and D&O. Works in conjunction with carriers, counsel and clients. Provides coverage/policy interpretation for large casualty claims, as well as guidance on complex, large casualty coverage and claims issues. Provides proactive oversight, guidance, and professional development to a team of Casualty Claims Adjusters.

ESSENTIAL DUTIES AND RESPONSIBILITIES

* Partners proactively with management to inform, analyze, educate and mitigate potential future incidents related to actual incidents or claims; identifies high frequency and/or severity trends for immediate action;

* Resolves complex to severe exposure claims, using high service oriented file handling working closely with clients to resolve conflicts, settle disputes, resolve grievances;

* Confers with legal counsel on claims requiring litigation working with a nationwide panel of attorneys. Negotiates hourly rates depending upon complexity of case; directs litigation plans and budgets, including whether a case should be tried or settled;

* Presents potentially problematic and high value cases to management for review and settlement boundary approval;

* Negotiates directly with carriers and insured/claimants on behalf of internal insurance program;
* Manages and maintains information regarding incidents, claims and requests for documents from employees and others and monitors claims;

* Maintains claims information for regular quarterly review, and carrier notifications. Files all notices and reports of claims to all carriers;

* Reviews/acts on reported litigated claims; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties;

* Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization;

* Proactively address cases involving a legal inquiry or dispute and to develop a strategy to bring a case to satisfactory resolution;

* Subject matter expert in claims involving issues/litigation with the highest degree of difficulty and facts that are occasionally in question for which considerable judgment, experience and independent reasoning are required;

* Oversees preparation of the defense in litigation and drives for superior results;

* Coordinates and assists in the litigation of high exposure cases and/or the most complex or specialized cases;

* Identifies cases for settlements/subrogation;

* Gathers/documents additional information and coordinates with client designees;

* Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance; travels to attend mediations, arbitrations, claims reviews;

* Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);

* Other duties as assigned.

* Performs all duties in accordance with all company policies and procedures, and all federal, state and local laws, wherein the Company operates.

* Performs other duties as assigned.

QUALIFICATIONS
EDUCATION / EXPERIENCE

Bachelor's Degree

Law School

Ten (10) or more years handling or managing casualty claims nationally

Holds Insurance Adjuster licenses, preferably TX and/or FL

JD preferred

SKILLS

Excellent verbal and written communication skills

Negotiation and presentation skills

Excellent leadership, problem solving and time management skills

Proficient in Microsoft Office products

Advanced analytical skills

Ability and motivation to work independently

Ability to interface with executives - internal and external

Willing to travel as needed

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• Yardley, PA 19067, USA