| Job Description | Selective. A Great Company Looking For Great People.
Come Work With Us.
Our people make it happen. Having the right people and teams in place to get the job done is the key to success. Selective has the skilled, committed individuals who make all the strategies, initiatives and technologies work.
Handle excess and surplus lines commercial liability claims. Investigates, evaluates, negotiates and concludes by settlement or denial assigned claims through telephone, and/or written correspondence. These duties are performed consistent with company claim’s policies and procedures, prescribed authority and standards of performance. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements.
Receives assigned claims (which can be complex in nature), verifies coverage and determines course of action.
Processes claims which includes the following activities: set up file in claims computer system, establish initial reserves, conduct claim investigation, analyze investigational data, settle litigated and non-litigated claims, process expenses/losses incurred, prepares check requisitions, explore subrogation/salvage potential, closes claims and secures appropriate releases.
Documents claims files and maintains control of work through documentation and diary system.
Effectively and efficiently manage vendors and expenses. Responsible for directing the work and performance of independent adjusters and attorneys to achieve successful resolution of claims
Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory or comparative negligence. Assign medical or other experts to case and arrange for medical examinations when necessary.
Effectively evaluate, negotiate and resolve claims within delegated authority utilizing the appropriate denials or releases.
Provide required reports to claims, underwriting, reinsurance and actuarial on significant exposure cases.
Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
Ensure proper referrals and timely updates to appropriate Reinsurer(s).
Multi-State licensing with strong understanding of Medicare reporting & compliance preferred. Maintains current knowledge of: all liability insurance lines; court decisions which may impact the claims function; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and training sessions.
College degree preferred or 10 years prior liability claims experience if no degree.
5+ years claims experience preferred (If college degree)
Multiple state adjusters licenses preferred but not required.
Prior experience in directing defense counsel preferred.
Knowledge of multiple jurisdictions across the United States, with emphasis in the Northeast. Excess and Surplus lines experience preferred. Skilled in analyzing commercial liability coverage, and assessing exposure. Prior experience with coverage issues and reinsurance reporting preferred. Superior communication and strategic negotiation and claim disposition skills along with proven problem-solving skills; Proficiency with computer and technology; working knowledge of Microsoft Office applications; Word and Excel covered loss. |
| | Company | | Selective Insurance | Job Code | | State or Province | | Pennsylvania | | |
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