Claims Consultant - Mass Tort

JOB DESCRIPTION

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Job Description

Performs a combination of duties in accordance with departmental guidelines:

• Manages an inventory of highly complex commercial litigation with large exposures that require a high degree of technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, which may include pursuit of risk transfer, extensive negotiations, and management of complex litigation.
• Investigates and analyzes policy language in order to recommend and prepare coverage determinations.
• Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively with insureds, claimants, and business partners.
• Provides timely updates and responds promptly to inquiries and requests for information.
• Sets and manages timely and adequate reserves considering coverage, liability, and damages.
• Moves claims to closure with a high degree of independence and proactive claim handling and by collaborating with internal and external business partners, as appropriate, to develop, own, and execute a claim resolution strategy.
• Keeps leadership informed of significant risks and losses by projecting exposure and completing loss summaries and similar reporting.
• Prepares and presents claim status and evaluation to leadership.
• Maintains subject matter expertise and ensures compliance with state/local regulatory requirements.
• Mentors, guides, develops, and delivers training to less experienced Claim Professionals.

May perform additional duties as assigned.

Reporting Relationship

Typically Managing Director or above

Skills, Knowledge & Abilities

• Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
• Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
• Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous and challenging business problems.
• Strong work ethic with demonstrated time management, organizational skills, sound judgment, and an ability to work independently.
• Ability to work in a fast-paced environment at high levels of productivity on complex matters.
• Demonstrated ability to negotiate complex settlements.
• Experience interpreting general liability insurance policies and coverage issues including disputes related to number of occurrences, trigger and allocation.
• Ability to manage multiple and shifting priorities.
• Knowledge of Microsoft Office Suite and ability to learn business-related software.
• Demonstrated ability to value diverse opinions and ideas.

Education & Experience

• JD preferred or Bachelor's Degree with equivalent experience in claims handling
• Typically a minimum six years of relevant experience, preferably in claim handling
• Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire where applicable.
• Negotiation experience, including mediations.
• Abuse, product liability, pollution, and/or high severity general liability claims experience strongly preferred.

The National base pay range for the Claims Consultant – Mass Tort role is $120,000 to $164,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.