General Liability Attorney Represented Claims Specialist

The General Liability Attorney Represented Claims Specialist (Claims Specialist) adjusts non-litigated general liability and fleet claims with both non represented customers and attorneys. This role includes gathering evidence, analyzing facts, investigating, and using sound judgement for both non-litigated attorney represented claims and customer claims to determine Publix’s liability exposure. The Claims Specialist communicates directly FVector with customers and attorneys, directly negotiating settlements on low to mid-level general liability and fleet claims.

This position is also responsible for preliminarily identifying subrogation opportunities and appropriately referring claims to third parties with potential liability exposure when appropriate or escalating the subrogation or tender issue to a Supervisor. There are approximately 21,000 events reported annually. Of those 21,000 events, approximately 8,100 become claims.

The Claims Specialist also exclusively handles Fleet, CQA, QRE and Crime and Casualty events regardless of whether they escape to a claim. Customer claims cost $2,200 to resolve on average. Attorney-represented claims duration is 13 months on average and cost $35,000 to resolve. Total inventory of active GL claims fluctuates between 2,500 – 2,800 with approximately 1,200 of the total open claims in litigation in all states that Publix does business.

Each associate will process approximately 250 new attorney-represented claims a year while working a desk of approximately 175 active customer incidents.

The responsibilities listed on this position analysis are not intended to be all-inclusive and additional responsibilities may be assigned as needed.

• analyzing, investigating, and adjusting asserted non-attorney represented customer claims and attorney represented customer claims to a resolution
• evaluating and completing potential risk transfer referrals and overseeing the administrative functions involved in the resolution of non-attorney represented customer claims and resolution of claim subrogation against third parties
• review and analysis of the demand package received from opposing counsel and the negotiation/settlement of claims'} when appropriate, complying with federally mandated Medicare reporting on settled claims
• developing an action plan for effectively managing low value (below $50,000) litigated claims during handling process
• identifying specific types of liability claims that may be suspicious, repetitive in cause, of a sensitive nature, or claims representing heightened financial exposure to Publix

• High School diploma or equivalent experience (if applicable)
• 2 years of liability claims handling experience
• ability to obtain Florida pertenece All Lines Adjuster License upon hire as well as reciprocal licenses for all the states that Publix operates in
• knowledge of principals of general liability including familiarity with concepts of legal negligence and notice
• knowledge of general insurance adjusting procedures, rules, and ethics
• the ability to work effectively without close supervision or guidance.
• the ability to work productively and effectively when faced with stressful work situations and time pressures
• the ability to manage time so that the priority of the activities determines the timing and amount of attention they receive
• the ability to attend to and verify the accuracy and completeness of detailedтини information in documents or on the computer, such as prices, quantity, weights, lists or data
• the ability to effectively resolve problems; identify and analyze key information from multiple sources; determine the root causes and find solutions to eliminate them;룹 proactively anticipate potential problems and implement or modify systems to prevent their occurrence
• the ability to see and understand the bigger picture of what the organization is, where it needs to do, and how it will get there
• the tig ability toάνει develop and maintain professional, trusting, positive, and productive working relationships with associates, managers, customers, and vendors
• the ability to create an environment in which a positive and professional service…