Claims - Auto - Sr Technical Consultant Casualty Claims

Overview

Role:
Claims - Auto - Sr Technical Consultant Casualty Claims — Remote - Full-Time/Direct Hire role

• Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits.
• Responsible for the settlement of litigated cases, involving disputes over coverage, liability, and damages issues.
• Gather the facts and analyze the statements/testimony and declaration of damages to develop claims resolution strategies.
• Work in partnership with defense counsel and all other parties/vendors to bring about a timely cost effective conclusion.
• Identifies possibly suspicious claims.
• Claims handled are transferred existing losses or first notice lawsuits over disputed issues of great complexity where the policyholder’s coverage is in question.
• These claims require the highest level of investigation, analysis, evaluation, and negotiation.
• Responsible for all aspects of each claim, including informal hearings, arbitrations and claims litigation and maintaining a high level of productivity, confidentiality and customer service.
• Will be utilized as a technical resource by adjusters.
• Will represent the company at mediation, arbitration and trials.
• Review and analyze contracts, leases, and identify risk transfer opportunities.
• Demonstrate ability to write positional coverage letters.
• Manage litigation expenses.
• Reports into Unit Manager.

• Typically has 5+ years of litigation experience with an insurance carrier. (TPA experience will not be considered)
• Bachelor’s degree or equivalent experience, industry designation preferred.
• Dedicated to meeting the expectations and requirements of internal and external customers.
• Makes decisions in an informed, confident and timely manner.
• Maintains constructive working relationships despite differing perspectives.
• Considers the perspectives of others and gives them credibility.
• Strong organizational and time management skills.
• Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships.
• Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication.
• Understanding of applicable statutes, regulations and case law.
• Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner.
• Easily adapts to new or different changing situations, requirements or priorities.
• Cultivates an environment of teamwork and collaboration.
• Operates with latitude for un-reviewed action or decision.
• Computer experience (MS Office, Excel, Word, etc.).
• Ability to work in a paperless environment.