Manager, Claims

About the role

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.

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);
• 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

• 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