Senior Claim Representative - Legal

SUMMARY

This Senior Claims Representative position is within the company’s complex claim handling unit. The primary responsibility of this position is the management and resolution of the company’s most complex commercial casualty claims with minimal supervision. Claims managed by this position are among the most complex received by the claims department and often present the highest and most severe potential exposure. Further primary responsibilities include handling negotiations on any and all claims assigned, understanding and verifying coverage policy provisions, limitations, deductibles, and exclusions, taking statements or interviews when necessary, from all parties, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

Other duties may be assigned.

2. Maintain an active diary and updated plan of action on 100% caseload files.

3. Adhere to assigned authority limits for reserving and payments (including settlements).

8. Evaluate and make decisions regarding coverage, liability, and compensability.

10. Negotiate settlements or deny payments where no coverage, liability, or compensability exists.

11. Attend mediations, settlement conferences, arbitrations, and trials when appropriate.

16. Adhere to the company’s code of ethics.

17. Perform related duties assigned.

EDUCATION AND EXPERIENCE

Relevant combination of education and experience may be considered in lieu of degree.

1. Bachelor’s degree from a 4-year college or university.

2. Juris Doctor degree (weighed favorably, but not a requirement)

3. Admission to the state bar preferred

4. At least 5 years of experience managing large and/or complex commercial casualty claims and demonstrated knowledge and ability to do so at a high level of performance.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty.

satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or

ability required. Reasonable accommodation may be made to enable individuals with disabilities.

to perform the essential functions.

OTHER SKILLS AND ABILITIES

1. Excellent oral and written communication skills.

2. Excellent presentation and facilitation skills.

3. Ability to make competent, independent decisions.

4. Ability to analyze coverage submissions and help.

5. Ability to prioritize, organize and plan work for self and others.

6. Excellent customer service skills.

7. Superior problem-solving ability.

8. Thorough knowledge of claim procedures, policies, terminology, etc.

9. Computer proficient with Microsoft Office programs, such as Word, Excel, and Outlook.

10. Possess State adjusting license(s) as applicable.

11. Ensure assigned files are managed in good faith as defined by statute, case-law and Corporate

standards.

12. Ability to travel as required.

13. Ability to interact professionally with others

14. Sit, stand/walk ambulatory

15. Ability to lift ten pounds

ADDITIONAL INFORMATION

The above statements are intended to describe the general nature and level of work being.

performed by people assigned to this classification. They are not intended to be construed as an

exhaustive list of all responsibilities, duties and skills required of personnel so classified. This job

description does not constitute a contract for employment.

We are an Equal Opportunity Employer. We will not tolerate discrimination or harassment in any form. Candidates for the position stated above are hired on an "at will" basis. Nothing herein is intended to create a contract.