The primary role of a Complex Claims Specialist is to promptly and professionally ensure high quality claim handling by analyzing liability of claim submissions while making coverage determinations, investigating losses, conducting independent assessment as to the insured’s exposure and moving cases towards timely resolution. You will be an effective source for help and support because of your deep knowledge and liability claim expertise. Key Functions will include but not be limited to:   The Complex Claims Specialist is a high-level adjuster role that adjudicates assigned claims within given authority and provides operational support to the claims team. This person also: - Adjusts and resolves complex to severe commercial claims that may also include all phases of litigation for our Bodily Injury team. - Plans and conducts investigations of high severity claims (including such activities as interviewing insureds, witnesses and claimants, collecting and evaluating appropriate documentation and securing evidence and protecting the chain-of-custody) to analyze and confirm coverage and to determine liability, compensability and damages; determines need for, and engages independent adjusters, cause and origin experts and independent medical examiners. Refers to claim to subrogation group or Special Investigations Unit as appropriate. - Assesses policy coverage for submitted claims and notifies the insured of any issues. - With minimal supervision, drafts complex coverage letters, including reservation of rights and denial letters. - Determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. - Reviews and analyses claim documentation and legal filings. - Assesses actual damages associated with claims and confidently conducts negotiation within assigned authority limits, to settle claims. - Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company. - Acts as senior technical professional on team, assisting team members with escalated issues. - Develops and maintains excellent rapport with our agency force, insureds, claimants, experts, attorneys, and internal customers - Attend mediations, trials, and overnight travel as needed. Position is in office (Jacksonville, FL or Irving, TX) Monday through Thursday wtih option work from home on Fridays. 

If you are seeking to enhance your legal career or insurance industry experience in a fast-paced, growing transportation company, we have an exciting opportunity to join our claims team. Carolina Casualty is looking for a Claims Attorney who will be responsible for the management and direction of complex claims involving commercial automobile litigation, legal questions of coverage, questions of liability and/or questions of damages.  The position also requires collaboration with outside counsel in analyzing and resolving claims within designated limits of authority. This includes investigation, analysis of liability and damages exposure, drafting and issuance of coverage position letters, assessment of risk transfer and development of strategies for resolution of litigated and non-litigated third-party claims. The Claims Attorney will also be responsible for determination of probable loss exposure and timely establishment of reserves, as well as maintenance of claim files and documents in accordance with Company policy and procedure.  The Claims Attorney will also control the insured’s exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Key Functions will include but not be limited to: - Oversee and resolve complex truck, bus, commercial auto and/or public transportation claims, including litigation.  - Manage and coordinate litigation by hiring defense counsel and required experts, review of draft pleadings, litigation plans, budgets and invoices. - Document and communicate all claim activities timely and effectively and in a manner, which supports the outcome of the claim file. - Attend and monitor trials to assess attorney performance and jury verdict risk. - Conduct a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss. - Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim’s management process. - Act timely upon emerging information to insure ongoing recognition of the financial exposure on losses within assigned authority as well as promptly communicate to management, if beyond the assigned level of authority. - Interpret related claims documentation. - Initiate and oversee serious accident investigations and rapid response     Position is in office (Jacksonville, FL or Irving, TX) Monday through Thursday wtih option work from home on Fridays.  

CCI is looking for a Chief Actuary to join their seasoned executive management team. The position will report to the president of Berkley Transportation. Responsibilities include the management of a small highly skilled team and overseeing the pricing, reserving, financial reporting, business monitoring, planning, product development and predictive modeling functions of the actuarial department. The overriding objective is to help the company consistently meet or exceed its corporate profitability and growth objectives. The ideal candidate will have strong communication and leadership abilities while having the willingness to take a hands-on role within the department. Embracing hard work is an important trait for this niche and highly entrepreneurial environment. This a high visibility position within the company as well as for the corporation in general.   Key functions include: - Collaborate with the Executive Team in development and execution of company strategies and plans. - Develop Actuarial Department objectives to ensure coordination with the company strategic plan. - Maintain a strong working knowledge of insurance contracts, state legal requirements, company business initiatives and industry trends/practices as pertain to Chief Actuary duties. - Manage team of seasoned actuaries. Provide goals and encourage personal development. Mentor as needed to elevate the department to best in class. - Drive innovation through analytics and predictive modeling to better understand the business. - Evaluate the effectiveness and adequacy of the company’s’ pricing models and monitoring tools. - Provide vision to improve efficiency and data quality/collection through stronger model and policy system integration. - Manage relationships with corporate, reinsurance partners and other company actuaries. - Perform quarterly reserve reviews, prepare Schedule P and assist the finance team with their actuarially oriented financial reporting requirements. - Attend the quarterly corporate CFO meetings. Discuss reserve position, loss trends, rate change, pricing adequacy, current year loss projections. - Monitor trends within the Property/Casualty insurance industry and communicate significant developments to the department and executive teams. - Support an environment that is transparent and open, where everyone is encouraged to achieve, express new ideas, and embrace change.

This is an internal, insurance coverage attorney role. Coverage Counsel works in collaboration with Claims Department, other company units, and external stakeholders to avoid and mitigate coverage, bad faith, and extra-contractual related risk by providing guidance on issues related to insurance coverage, bad faith, policy forms (analysis, guidance, interpretation, drafting and revision), litigation strategy, fair claims handling compliance, training, fraud, and others. The position will research and render legal opinions on coverage issues, set strategy, and oversee and manage coverage and extra-contractual litigation. The role will also be heavily involved with coverage training, ensuring product knowledge across the company, insurance fraud investigations, and fraud litigation.   Key functions include but are not limited to the following: - Full responsibility for all coverage, bad faith, extra-contractual exposure, and potential exposure, many that involve complex legal, contractual and factual issues. - Assign and manage panel counsel for litigated coverage matters and ensure outside coverage attorneys perform optimally on assigned matters. Interact, manage and collaborate with outside counsel and evaluate their progress and compliance with guidelines. Coordinate responses to subpoenas for documents and information. - Investigate coverage and bad faith issues. Research coverage issues and case law countrywide. - Provide guidance to company professionals relating to coverage, bad faith, extra-contractual exposure and policy limit demand issues. - Review coverage letters for accuracy and compliance with state specific law. Review and provide guidance related to all incoming and outgoing tenders. Draft disclaimers, reservation of rights, recessions, coverage letters, etc. Review, assess and revise form claim letters to ensure language is appropriate for compliance and good faith claim handling. - Draft coverage opinions. - Provide insurance coverage technical guidance, assistance and training to claim and underwriting staff. Design coverage training programs for claim adjusters, underwriters and new employees. - Ensure company meets all coverage and bad faith reporting requirements related to internal and external stakeholders. - Provides drafting support on form/endorsement development. - Conducting insurance regulatory compliance research and providing advice and assistance in connection with the preparation and submission of product filings with state regulators, including responding to regulatory criticisms. - Conduct legal research. - Lead special projects to identify threats to the company and its clients. - Support the development of new insurance products. - Assess and draft responses to all DOI inquiries and complaints. - Acts as a leader, mentor, and positive influence on others in the Claims Department. - Develop solutions and new strategies to mitigate coverage, bad faith, extra-contractual and other related risk. - Handle special projects as assigned by management and other duties as assigned by Chief Claims Officer.

Carolina Casualty Insurance company is looking for an experienced Commercial Bodily Injury Claims Manager.  The Commercial Bodily Injury Claims Manager is responsible for providing leadership and expertise to a team of bodily injury/liability claims adjusters. This position will also help answer coverage questions and solve problems, develop technical training and development plans, work with our customers to provide an excellent customer experience, and participate in projects to help the department improve and evolve. If you are an experienced Claims Manager, this opportunity is for you!   Our team is comprised of “A” level talent and innovative thinkers. You will be part of a highly collaborative team of talented and focused professionals. Join a group that enjoys working together, trusts each other, and takes pride in our hard-earned success. - Shape the future strategy of the department as part of the claims leadership team. - Monitors workload assignments for commercial bodily injury claims personnel - Recommends staffing plans to the AVP – Claims and participates in the hiring of new commercial bodily injury claims personnel based on business needs - Knowledge of evaluating injury exposures - Ability to function in a fast-paced work environment and tolerate stress - Demonstrated success exercising independent decision making, problem solving and effective negotiation skills - Excellent oral and written communication skills - Work with the claims adjusters to solve problems and get the best outcomes of the claim. - Collaborate with other departments, including actuary and underwriting, individual claims, Best Practices and trends. - Develop the team’s expertise in claim handling procedures in accordance with Best Practices. - Manage the department’s inventory of claims to include: - Ensuring team conducts thorough investigations to determine coverage and liability - Ensuring proper reserves are set for exposures to the Company - Ensuring appropriate evaluation, negotiation, and settlement claims within authority levels. - Ensuring Identification and pursuit of recovery opportunities (salvage, subrogation, etc.). - Ensuring appropriate and thorough litigation process - Develop team in negotiation and settlement skills. - Conduct research on industry trends and keeping apprised of laws in Federal, State and Local jurisdictions. - Develop training programs and procedures, and conduct department-specific training. - Review and streamline claims processes, including automating tasks as needed. - Work with direct reports on career development and aspirations. - Conduct performance reviews and give constructive and positive feedback to direct reports. - Recruit and retain team members to the claim’s organization. - Speak with customers when added expertise is needed or issues arise that need extra assistance. - Serve as a point of contact and knowledge source for all internal departments, and for our clients. - Ensure the claim team maintains a high level of Customer Service to customers. Ability to step in to manage individual claims if needed or to gain a better understanding of processes. This position is located in our Jacksonville, FL office Monday - Thursday with Friday an optional work from home day.

The SeniorUnderwriting Director for E&S will be responsible for building and overseeing the E&S primary auto department.  This role will be responsible for Portfolio Strategy & Execution, Risk Selection and Pricing, Portfolio Stewardship and Product Management.   This is a critical role which requires oversight of strategic underwriting practices nationally.   This leader will utilize their expertise to create, manage, design and drive diverse multidimensional strategies for our E&S book of business. We require strong leadership skills that will cultivate portfolio insights, develop strategy, and deliver a collaborative value chain with our Agents and customers.   This role is preferred  in Jacksonville, Florida or Boston, Massachusetts.  Other locations will be considered.   Key Functions include but not limited to:   - Collaborate with actuarial team to develop pricing model and optimize portfolio through risk selection and pricing strategy to maximize profitability - Develop, implement and monitor underwriting guidelines, rates, forms, pricing, endorsements and procedures - Develop, implement and manage strategic underwriting for specific lines of E&S - Provide business forecasting related to trends and profitability - Thoughtfully establish group strategy, appetite and marketing plans - Lead pro-active discussions with reinsurers, verifying the appropriate use of reinsurance used by specific lines of business, including various treaty and facultative reinsurance. - Conduct regular visits with general agents, brokers and program managers to understand business needs, reinforce objectives, drive business results and identify new business opportunities. - Monitor results, collaborate with actuarial team and optimize portfolio through risk selection and pricing strategy to maximize profitability - Eventually will be responsible for the planning and management of building out the E&S team including: hiring, placement, training, performance management, salary planning and administration and budgeting. - Up to 50% of Travel