Senior Claims Specialist 1

Qualifications

• 5-10+ years of claims experience handling general liability claims, including bodily injury, property damage, product liability, and construction defect or construction accident matters.
• Conduct prompt and thorough coverage analysis, liability assessment, and damages evaluation on complex general liability claims.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Experience handling claims involving WRAP, OCIP, and/or CCIP programs is a plus.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Develop and execute resolution strategies for litigated and non-litigated matters, including attendance at mediations, settlement conferences, trials, and other key proceedings as needed.
• Establish timely and accurate case reserves and maintain reserve adequacy throughout the life of the claim based on evolving facts, legal developments, and exposure analysis.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Negotiate settlements within authority and present high-exposure matters for authority review with clear recommendations and exposure assessments.
• Identify opportunities for early resolution, transfer of risk, contribution, subrogation, and cost containment, while preserving policyholder and business relationships where appropriate.
• Partner closely with underwriting on policy interpretation, policy construction, claim trends, and emerging loss issues.
• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Strong negotiation, analytical, organizational, and decision-making skills.
• Excellent written, verbal, and presentation skills, with the ability to communicate effectively with insureds, brokers, claimants, attorneys, underwriters, and senior management.
• Ability to travel to mediations, trials, inspections, and other proceedings, as required.
• Commitment to fostering a company culture centered on collaboration, responsiveness, and professional accountability.

Responsibilities

• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Participate in developing and executing claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Collaborate with internal and external stakeholders in fast-moving and complex claim environment.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Develop and execute resolution strategies for litigated and non-litigated matters, including attendance at mediations, settlement conferences, trials, and other key proceedings as needed.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Identify opportunities for early resolution, transfer of risk, contribution, subrogation, and cost containment, while preserving policyholder and business relationships where appropriate.
• Work closely with management, underwriting, and actuarial to develop and execute claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Participate in developing and executing claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Identify opportunities for early resolution, transfer of risk, contribution, subrogation, and cost containment, while preserving policyholder and business relationships where appropriate.
• Work closely with management, underwriting, and actuarial to develop and execute claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Participate in developing and executing claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Identify opportunities for early resolution, transfer of risk, contribution, subrogation, and cost containment, while preserving policyholder and business relationships where appropriate.
• Work closely with management, underwriting, and actuarial to develop and execute claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Participate in developing and executing claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Identify opportunities for early resolution, transfer of risk, contribution, subrogation, and cost containment, while preserving policyholder and business relationships where appropriate.
• Work closely with management, underwriting, and actuarial to develop and execute claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Provide meaningful claims reporting and trend analysis to management, including loss drivers, litigation developments, reserve changes, and strategic recommendations.
• Ensure all claim handling is performed in compliance with internal guidelines, best practices, regulatory requirements, and applicable jurisdictional standards.
• Participate in developing and executing claims strategies that align with organizational objectives, support disciplined claims handling, and drive effective outcomes across multiple dynamic books of business.
• Oversee and coordinate the work of independent adjusters, third-party administrators, experts, consultants, and other vendors to ensure quality, timeliness, and cost-effective claim handling.
• Review and interpret policy language, endorsements, contracts, and related claim materials to determine coverage position and exposure.
• Prepare clear, concise, and well-supported coverage position letters, reservation of rights letters, denial letters, and other claim-related correspondence in collaboration with coverage counsel when appropriate.
• Direct and manage outside defense counsel to ensure litigation strategy, budgeting, case assessment, discovery, motion practice, and resolution efforts are aligned with company objectives and best practices.
• Manage a caseload of moderate to high severity and high-exposure claims through all phases of the claim lifecycle, including initial notice, investigation, litigation management, mediation, trial, settlement, and closure.
• Handle construction-related claims involving complex factual, contractual, and risk transfer issues, including indemnity, additional insured status, tenders, and allocation disputes.
• Identify opportunities for early resolution, transfer of risk