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Primarily responsible for the complete handling, including establishing of coverage, liability and
damages, to enable equitable resolutions of all claim assignments. Undertake responsibility for complex
and / or high exposure claim assignments in all lines.
Essential job functions include:
Responsible for investigation, analysis and evaluation of all claim assignments to include
the issues of coverage, liability and damages.
Negotiates equitable settlements and produce successful resolutions in accordance with
company policies and department guidelines.
Exercise independent judgement and employs sound decision making in undertaking the
above responsibilities.
Comply with all aspects of the Fair Claims Settlement Practices Regulations.
Properly document all claim files with dated progress notes and reports to record results
of investigation and handling, stating reasons for decisions and evaluations in
accordance with guidelines.
Establish and maintain appropriate reserves on all claims that reflect company policies
and guidelines.
Attend settlement conferences, other meetings and hearings as required.
Assist in reaching company and department objectives by reducing pending files and
successfully concluding all claim assignments, maintains 100% closing ratio.
Undertake responsibility for re-insurance reporting.
Analyze and evaluate converge issues and prepare communication on coverage
positions.
Analyze and evaluate complex claim issues and high exposure claims with plans for
implementing resolutions and conducting the activity to reach resolution
Conduct study and research in related claims areas as may be requested by Claims
Management.
Job Qualifications:
10 years of claims experience
Litigation management
Coverage analysis
Experience with Commercial transportation, excess liability and complex litigation
Experience in different jurisdictions preferred
Ability to do overnight travel for mediation and conferences
BA required, professional designation preferred

Associated topics: automobile, claim, claim adjuster, claim examiner, claimant, damage, fraud, insurance investigator, investigate, liability adjuster

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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