Sr Liability Claims Representative

Sr Liability Claims Representative

The James Allen Companies Inc.

Sr Liability Claims Representative

Position Summary:
This position provides key support in the handling of claims across multiple lines of coverage, with a focus on
Liability. This includes assessing claim coverage, liability, legal and damage issues, and investigating,
evaluating, and effectively resolving all assigned claims in a timely manner according to company and
regulatory guidelines. Provides a high level of customer service to internal and external business partners.

Primary Responsibilities:
• Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues
• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Provide proper documentation and reporting of investigation and claims handling activities
• Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts,
settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third
parties retained to assist in a particular claim
• Other duties as assigned

Qualifications:
• Minimum of 5 years of experience with the following:
o Coverage Review – interpreting policies, agreements and disclaimers
o Claims Investigation – Statements, authorizations, retention of qualified experts and counsel
o Claims Administration – Reports, review reserves, compliance knowledge of laws and procedures
o Claims Settlement – Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
• Knowledge of coverage, negligence principles, investigation and negotiation techniques
• Ability to obtain and maintain state adjusting licenses, as needed
• Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
• Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
• Ability to manage and organize workload of multiple tasks simultaneously
• Excellent judgement, negotiation, and decision making skills
• Must be able to travel between different off-site locations or overnight in an expeditious manner
• Experience in handling liability claims in FL required; AL, GA, SC, NC, VA, PA a plus.

Benefits:
• Competitive salary and benefits
• Paid time off and 12 paid holidays a year
• Health, dental, and vision insurance
• Company paid life insurance – 2x annual earnings
• 401(k) Savings and Profit Sharing Plan
• Education and training opportunities
• Insurance designations encouraged with financial assistance available
• Daily two-hour flexible start and end time for 7.5-hour workday
Employee Fitness Program

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