The Claims Director & Coverage Specialist investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and claims of high exposure and complexity. This position is located in Rutherford, NJ. Some travel will be required. Duties and responsibilities include but are not limited to:
- Analyzes coverage, identifies coverage issues, and prepares coverage letters for VP approval
- Focuses on specialized claims in the area of habitational construction risk transfer
- Investigates and evaluates liability and damages
- Manages litigation by assigning counsel from the approved panel where applicable, establishes litigation plans and budgets, coordinates with defense counsel, and continuously reviews the potential for resolution.
- Coordinates and leads coverage review practice, analysis with GL Team to minimize need for external coverage opinions
- Establishes timely reserves within authority and re-evaluates throughout the life of the claim
- Maintains up-to-date, appropriate file documentation and written file notes
- Maintains an active diary and productive file inventory
- Timely completion of all required large loss reporting
- Negotiates settlements within authority limit granted, and attends mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions
- Proactively controls the work product and expense of outside vendors
- Develops and maintains positive customer relationships and provides superior customer service
- Attends Broker and Managing Agent meetings, arranges for training and development opportunities
- Timely identification of all potential opportunities for co-insurance and transfer of risk
- Ability to Work with designated assigned accounts
- Recognizes and investigates fraud
- Meets all State licensing requirements
- Adheres to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices
ID
2019-3262
Primary Location
US-NJ-Rutherford
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