Executive Claims Examiner

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
• Communicate with underwriting as needed to manage claims and to alert of any significant developments
• Promptly communicate with management on adverse case developments and provide information on pertinent issues affecting professional liability product lines
• Proven ability to work in a collaborative team environment
• Analyze and convey summations of complex issues; recognize alternative approaches and develop action plans, both orally and in written form
• Maintain and adhere to internal guidelines and procedures
• Ensure proper adherence to internal reporting requirements
• Contribute and assist in the implementation of a wide range of initiatives, discussion and action plans brought forth by management
• Participate in agent related functions and meetings as required
• Actively participate in the ongoing training and development of the claims examiners

• 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
• Work collaboratively and as team player willing to assist within the Unit and Casualty Division as needed
• Ability to proactively and independently manage a caseload
• Travel required as necessary (approximately 10-20%)
• US Work Authorization required.