Executive Claims Examiner, Programs

About the role

The position will be the acknowledged technical expert and be responsible for the resolution of high complexity and high exposure claims. The position will have significant responsibility for decision making and work autonomously within their authority.

Responsibilities

• Investigate, negotiate and settle complex primary and excess policy casualty claims including negligence, premise liability, commercial automobile, construction bodily injury, construction defect, product liability, and sexual assault.
• Investigate and analyze coverage under primary and excess casualty insurance policies; make coverage determinations; draft routine and complex coverage correspondence; effectively communicate coverage positions to policyholders and other stakeholders; manage claims involving coverage litigation.
• Manage litigation filed nationwide against insureds; appoint, direct and manage defense counsel; proactively work toward expeditious and economical resolution of claims; assist internal business partners, including claims vendor management, disbursement and legal collections teams with defense counsel, bill payment and collection issues.
• Promptly communicate with management on adverse case developments and provide information on pertinent issues affecting professional liability product lines.
• Communicate with underwriting as needed to manage claims and to alert of any significant developments.
• Participate in agent related functions and meetings as required.
• Actively participate in the ongoing training and development of the claims examiners.

Requirements

• Minimum 10+ years of casualty claims or litigation experience required.
• Experience managing, overseeing, and partnering with third-party administrators, managing general agents, and/or managing general underwriters is a plus.
• College degree required and professional designations preferred.
• Excellent written and oral communication skills.
• Sound comprehension of insurance coverage posed by casualty liability and excess liability policies.
• Ability to analyze and convey summations of complex issues both verbally and in writing; recognize alternative approaches and develop action plans.
• Experience in determining contractual obligations, insurance coverage analyses, and investigations. Insurance coverage litigation experience a plus.
• Ability to manage complex litigation, set loss and expense reserves and evaluate settlement values.
• Ability to work in a collaborative team environment.
• Ability to proactively and independently manage a caseload.
• Travel required as necessary (approximately 10-20%).

Pay

The base salary offered for the successful candidate will be based on compensable factors such as job-relevant education, job-relevant experience, training, licensure, demonstrated competencies, geographic location, and other factors. The national average salary range for the Executive Claims Examiner is $97,520 - $134,090 with 25% incentive.