Job Description
Analyzes, investigates, and evaluates the loss to determine coverage and claim disposition. Utilizes CMS to document claims and to diary future events or follow-up. Within prescribed settlement authority for the line of business, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Monitors the case resolution process. Actively participates in mediations and arbitrations, within limit of settlement authority. Participates in Claims audit process. May provide claims marketing services by participating in meetings with brokers, risk managers and reinsurers. As required, maintains insurance adjuster licenses.
Environmental Claim Specialist related terms: claims, underwriter, analyst, professional liability, claims assistant, adjuster, examiner, representative, supervisor, manager, account manager, liability, catastrophic injury, litigation, account executive, risk analyst, territory manager, marketing manager, program manager, segment manager, analyst, account manager, product line manager, product development, miscellaneous professional liability, mpl, lawyers, accountants, e&o, d&o, errors and omissions, directors and officers, environmental, toxic tort, mass tort, hazardous waste, latent injury, asbestos
Job Requirements
Bachelors and/or advanced degree. 5+ years claims/legal experience; or in a related field. Functional knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge. Functional knowledge of law and insurance regulations in various jurisdictions. Demonstrated strong verbal and written communications skills. Demonstrated strong negotiation skills.
Why choose C. Winchell Agency for your Job search needs? With over 150 Years of cumulative insurance experience and 75 years recruiting experience, our staff has the hands-on knowledge to understand and address your needs. Since opening the Agency, we have placed individuals in P&C positions at more than 500 client companies, including many of the largest national P&C insurers and their subsidiaries, a large number of domestic and international reinsurers as well as the top national brokers, large-mid sized regional brokers as well as many, "main street" agencies. Our client base also includes the most well-known claim service/TPA's and large self insured corporations for in-house claims and risk management personnel.
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