Senior Complex Claims Specialist
Senior Complex Claims Specialist
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Company Details
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction Specialty Casualty Velocity Small Business & Professional Liability.
We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.
Responsibilities
Under limited supervision the Senior Complex Claim Professional is an individual contributor who investigates evaluates negotiates and resolves the highest complexity litigated and nonlitigated claims across multiple lines of business including General Liability Products Liability and Professional Liability. The ideal candidate possesses expertlevel coverage knowledge and embraces and advances Best Practices claims handling to industry and company standards procedures and objectives.
- Welcome working in a teamoriented collaborative environment with other seasoned Claim Professionals
- Exhibit expertlevel knowledge of the claims process best practices and litigation management
- Active and affable contributor to the claim process roundtables and pretrial calls to share knowledge and advance skills of others
- Analyze and identify coverage issues prepare coverage letters with expert level coverage knowledge and collaborate with inhouse coverage counsel
- Investigate evaluate document and reserve assessing liability and damages according to Best Practices
- Manage litigation by assigning counsel from the approved panel where applicable establish litigation plan and budget coordinate with defense counsel and continuously review for potential resolution.
- Establish timely reserves and continuously reevaluate their adequacy upon receipt of new information
- Maintain timely and appropriate file documentation and written file notes
- Maintain an active diary and productive file inventory
- Timely completion of all required large loss reporting
- Negotiate settlements within authority and attend mediations mandatory settlement conferences and/or Alternative Dispute Resolutions
- Possess a proactive approach to claim resolution and cost controls
- Develop and maintain positive customer relationships and provide superior customer service
- Timely identify and pursue all potential opportunities for coinsurance risk transfer and/or subrogation
- Recognize and investigate suspected fraudulent claims
- Comply with deductible/selfinsured retention and recovery protocols
- Meet all State licensing requirements
- Adhere to all statutory regulations Unfair Claims Practices acts and corporate Best Practices
- Serve as mentor and contributor for claims associates; provide technical advice
- Assist management with projectoriented work presentations and administrative tasks as needed
Other duties as assigned
Qualifications
- Four (4) year College Degree or commensurate experience and training
- JD preferred but not required
- Industry designations preferred (CRIS AIC SCLA etc.)
- Possess and maintain required adjuster licensing in various states
- 10 years of complex claims handling experience including General Liability Products Liability and Professional Liability claims
- Ability to effectively collaborate with internal and external business partners to advance company objectives and drive favorable outcomes
- Excellent oral and written communication skills
- Ability to evaluate priorities and meet deadlines efficiently
- Possesses advanced expertise in handling complex high exposure claims in multiple jurisdictions from initial intake through final resolution
- Indepth knowledge of the insurance industry including legal and regulatory environments
- Prior experience as a claims manager is a plus but not required
- Ability to travel as required
Additional Company Details
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role includes:
Health Dental Vision Life Disability Wellness Paid Time Off 401(k) and ProfitSharing plans.
The actual salary for this position will be determined by a number of factors including the scope complexity and location of the role; the skills education training credentials and experience of the candidate; and other conditions of employment.
This role is eligible to participate in the annual discretionary bonus program.
Sponsorship Details
Required Experience:
Senior IC
Employment Type
Unclear
