|Summary: Responsible for the handling of assigned claim files to appropriate conclusion, within designated level of authority and in accordance with Company guidelines. Claim assignments involve complex/ high exposure litigation and/or coverage issues associated with excess/surplus lines classes of business. Claims assigned to Sr. Litigation Examiner are generally of progressively higher complexity/exposure.
? Handles assigned claims involving complex/ high exposure coverage and litigation issues, in compliance with policy provisions, applicable laws and regulations, internal procedures, and within designated authority.
? Analyzes coverage for assigned claims.
? Drafts/sends formal written correspondence including Reservation of Rights, Excess and
Declination letters as appropriate.
? Assigns losses to and directs activities of approved investigators and defense attorneys as
appropriate in compliance with Company guidelines.
? Manages/controls expenses associated with investigation and defense of assigned claims.
? Establishes and maintains accurate loss reserves in compliance with Company guidelines.
? Negotiates and authorizes appropriate settlements with attorneys, insureds and claimants within designated authority.
? Prepares appropriate files for formal Claims Review.
? Attends mediations and settlement conferences.
? Completes Reinsurance Reports on appropriate files.
? Conducts legal research as necessary.
Minimum Education and Experience:
? Bachelorís Degree or equivalent work experience.
? Law degree preferred.
? Minimum 7 years of general claims experience.
? Litigation management experience.
? Completion of AIC, and or partial completion of CPCU or other similar program.
? Completion of specialized claims training in excess/surplus lines.
? Above average written and oral communication skills.
? Above average negotiation skills.
? Non-resident adjuster license in applicable States.
Physical and Visual Activities: Good speaking and hearing skills; ability to sit for long periods at a designated work station; ability to travel; good vision; finger dexterity; some lifting required.
Environmental/Atmospheric Conditions: Primary work station consists of a desk in a normal office environment. Extended periods of time in a sitting position facing a computer screen.
State or Province