About This Role
QUICK JOB DESCRIPTION: The Direct Claims Associate Account Manager under supervision handles and/or assists in monitoring, reviewing, and coordinating activities involving environmental, asbestos, and latent type claims, including resolution of coverage issues and establishment of adequate reserves.
RESPONSIBILITIES: • Analyzes, investigates, and evaluates new loss notices and claim tenders. • Works with policy search teams to find copies of alleged coverage where appropriate. • Expeditiously analyzes and positions claim under applicable primary, umbrella and excess coverage. • Coordinates the retention of defense counsel with internal/external stakeholders. • Coordinates and establishes defense strategy with insured, defense counsel and/or other participating insurance carriers. • Pro-actively manages the case resolution process. Actively participates in mediations as needed, within limit of settlement authority. • Works with the reinsurance department to provide notice of new accounts, updates on existing accounts and responds to specific reinsurer inquiries. • Works with in-house Legal/management to manage declaratory judgment actions, including formation and implementation of resolution strategy, settlement valuation and obtaining settlement authority. • Collaborates on setting reserves at appropriate level for claims. • Coordinates timely processing of payments including verifying proper allocation of such payments across appropriate policies • Manages ALAE through strategic handling and bill review/payment processing in coordination with the billing unit. • Appropriately documents claims in hard copy and/or systems in accordance with established guidelines.
REQUIREMENTS & QUALIFICATIONS • Demonstrate analytical skills. • Demonstrate verbal and written communication skills including proper grammar usage and imparting information in a clear and concise manner. • Strong interpersonal skills. • Ability to meet assigned deadlines. • Promptly responds to inquiries with a sense of urgency. • Ability to work in a collaborative and cooperative office environment. • Ability to multi-task and effectively deal with interruptions. • Ability to follow instructions and established procedures. • Proficiency with MS Word, Excel, and internet applications. • Attentive to details. • Able to work under pressure and execute good judgment in sensitive situations. • Obtains and maintains adjuster licenses, as required. • Travels as necessary.
EDUCATION & EXPERIENCE: EDUCATION: BA/BS degree required. J.D. preferred. CPCU or other industry designation a plus. Independent Property and Casualty adjuster’s license a plus.
EXPERIENCE: Minimum three years of experience in property and casualty claims, in a support role handling environmental and/or latent claims or a legal degree with relevant experience.
Requirements
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