Complex Claims Analyst

About the Role

Reporting to the Unit Manager, this role is responsible for direct handling of multi-line commercial claims including Auto, General Liability, and Construction Defect claims. Duties include investigation and evaluation of coverage, liability, and damages issues, claim evaluation, establishment/recommendation of adequate reserves, litigation management, case resolution, and transaction processing in alignment with the Company’s and Client’s Strategic Vision.

Responsibilities

• Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving multi-line commercial insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
• Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and excess policies.
• Ensures proper file setup, reserving, general handling, and application of company procedure.
• Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures.
• Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language.
• Assigns and manages work of defense counsel, assignment of expert witnesses, and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages, and participation in settlement negotiations.
• Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control.
• Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
• Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to the Reinsurance Department to assist in providing notice to reinsurers and recovery of specific amounts when payment exceeds the company’s retention.
• Handles a large volume of diverse and dynamic claims effectively.
• Empowered to make decisions within job description and authority; seeks guidance where appropriate.
• Develops creative ideas and solutions to real-time business problems and/or business opportunities; takes reasonable, calculated risks even if failure is possible.
• Seeks continuous development by identifying areas for growth improvement and works with the team to implement process and technical improvements.

Requirements

• Minimum of 2+ years’ experience in claims or a related field.
• Four-year college degree or equivalent work experience.

Schedule & Work Environment

This position operates in a professional, collaborative environment and requires the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The role uses standard equipment such as phones, computers, copiers/printers, and filing cabinets. Noise level is moderate.

Travel may be required based upon business needs.

Other duties may be assigned as needed.