Claims Consultant, CLESS; Construction Defect

Job Description Summary

The Excess Surplus (E&S) Claims team handles some of the most unique and interesting insurance claims y have complicated risks and loss history, requiring us to be adaptable and resilient in our work to help customers. If you love a challenge and can apply outstanding organizational, investigative and communication skills to your work, we want to hear from you!

As a Claims Consultant, you'll primarily be responsible for investigating, evaluating and resolving commercial and professional lines claims and lawsuits of a more severe and complex nature, or from a specialty line or program of significant value to the organization. These claims files typically include litigation and complex coverage issues. In addition, you'll work with claims divisional managers and directors to develop training plans and strategies for the division, coach, train and mentor individual team members, and build and maintain positive relationships with general agency and internal business partners, major customers and key individuals.

• Resolves claims and lawsuits of a more severe and complex nature, or from a specialty line or program of significant value to the organization. Acts as a subject matter authority in a particular line of business or risk.
• Identifies technical training needs and develops action plans to meet those needs. May provide technical consultation/direction to all levels of claim professionals. Functions as a content specialist to assist in developing training curricula.
• Builds and maintains open and trusting working relationships with general agents, producers and key internal business partners.
• Evaluates claims, in a timely manner, to identify and manage reserves according to company standards and best reserving practices.
• Maintains current knowledge of multiple coverage lines, venue‑specific court decisions which may impact the claim function, current guidelines in the claims function and policy changes and modifications. This may require attending various seminars and training sessions.
• Reviews and analyzes files to ensure adherence to Division guidelines and best claims handling practices. Reviews claims quality results to identify coverage trends and to ensure consistency in policy interpretation. Recommends training or other appropriate action.
• Provides consultation/direction to complex claims requiring the highest level of technical skill and expertise.
• Ensures appropriate attorney assignments, proper reserving, prompt and accurate reporting to reinsurance carriers, prompt and fair negotiations and adequate trial preparation, if necessary.
• Monitors litigation trends and claim handling practices to ensure lawsuits are handled in a consistent fashion. Maintains trial log for each line of business.
• May design specific reservation of rights templates for use by technical associates across channels. Approves all reservations of rights, disclaimers, tender/rejection/acceptance letters.
• Provides claims handling expertise to new product development. Provides standardized processes for claims handling related to new products.

May perform other responsibilities as assigned.

Reports to Senior Claims Manager, Director.

Education: Undergraduate education in insurance, business, management, or related fields. Advanced degree preferred. Additional education in a particular line of business may be required by the hiring business unit.

License/Certification/Designation: Associates must acquire the required federal and/or state licenses/registrations within the time period designated by the business unit. Additional licenses/registrations may be required when new products and services are implemented. If an associate fails or is unable to acquire required licenses/registrations within the designated time period, the associate will be ineligible to continue in the position. Completion of insurance courses such as IIA, AEI, or CPCU preferred.

Experience: Eight or more years prior insurance experience preferred. Proven experience handling higher severity and/or complex claims and litigation required. Proven experience analyzing…