Senior Claims Specialist - General Liability
#4899
Tampa, Florida, United States
Location
PMA Remote-PMAR
Position
Sr Claims Spec
External Description
Investigates, evaluates and resolves Automobile, General Liability, Professional Liability and Property claims for self-insured and unbundled clients. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of higher loss exposures, coverage issues and includes a pending of litigated files.
Responsibilities:
- Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
- Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority.
- Establishes and executes appropriate action plans for claim resolution including loss cost management.
- Comply with Special Handling Guidelines of Client
- Works collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims.
- Selects and manages service vendors in accordance with company and client special handling guidelines.
- Maintains a strong working knowledge of regulatory and jurisdictional requirements.
- Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
- Communicates effectively with internal and external customers on claims and account issues.
- Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims.
- Effectively manage litigation process and defense counsel to ensured timely and cost effective outcomes.
- Prepares and submits claim status and excess reports to client and their excess carrier(s)
- Potential local travel.
- Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
#LI - Remote
Requirements
- FL and/or TX and NY License required
- Bachelor's' degree and a minimum of 7 years of progressively responsible experience handling Automobile, General Liability, Professional Liability and Property claims required.
- Familiarity with coverage, negligence principles, investigation and negotiation techniques.
- Obtains and maintains state adjusting licenses, as needed. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.
- Strong organizational skills and detail oriented.
- Ability to work independently, handle multiple tasks simultaneously and exercise good judgment.
- Excellent verbal and written communication skills.
- Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
This Company is an Equal Opportunity Employer, and does not discriminate on the basis of race, gender, ethnicity, religion, national origin, age, disability, veteran status, or on any other basis prohibited by law. Information on race, gender and national origin will only be used for statistical and recordkeeping purposes, and will not be used in making any employment decisions. All information provided will be kept separate from your expression of interest. Providing this information is strictly voluntary, and you will not be subjected to any adverse action or treatment if you choose not to provide this information. If you do not choose to answer these questions, we ask that you select "Decline to Identify" for each question. Thank you for your voluntary cooperation.