Job Summary:

Handles claims that involve the investigation of coverage, liability, damages and resolution of both non-litigated and litigated claim files for primary casualty lines. Emphasis on Artisan, small to mid-level Construction Defect and OL&T claims throughout the USA. Establishes a big picture view of the Casualty Claims coverage positions relative to the law and the industry. Adjusts claims (i.e., does not process claims).

Key Responsibilities Intro

Relying on broad experience and judgment, this role is responsible for accomplishing the following assignments and has substantial latitude for actions or decisions made with minimal review. These assignments are varied in nature.

Key Responsibilities:

• Proactively handle complex claims from the First Notice of Loss (FNOL) to resolution of the claim while working with and advising business partners.

• Analyze and draft coverage letters while properly communicating coverage positions to insureds, brokers and agents.

• Assimilate all transfer cases and have current diary on all files.

• All files should have been worked on and brought current.

• Understand and apply best practices to all files.

• Maintain a 1-to-1 open-to-close ratio while reducing average indemnity and ALE.

• Investigation: Conduct and proactively handle investigation of claims whenever possible. If outside vendors or experts are needed, direct and closely monitor their work.

• Reports: Draft high-quality reports, set timely reserves or report to leadership cases wherein the reserves need to be set over your authority.

• Provide technical advice to claims leadership and underwriting.

• Mentor and educate less experienced adjusters.

• Travel to conferences, mediations, and trials as is necessary.

• Become proficient on all systems

Competencies:

Planning

• Develop work plans, establish timelines, and set goals for assigned work and work unit.

• Assign resources as needed.

• Meet commitments on deadlines.

Communication

• Communicate team or work unit results and recommendations with management and clients as appropriate.

Cost Management

• Drive improvement in existing business processes and assist in the implementation of new processes.

• Ensure unit performs work thoroughly in a cost-efficient manner and at a high productivity level.

Business Controls and Policies

• Comply with all corporate policies and procedures.

• Report any breakdown in controls to management.

• Conduct all activities in a safe manner.

• Ensure all the above are followed within assigned work unit.

People Management

• Plan, conduct, and supervise assignments. Train assigned personnel and assign work.

• May assist with the review and evaluation of assigned personnel.