Senior Corp Claims Specialist - National Environment and Asbestos Experience

PMA Companies; Tampa (FL); Remote; USD 60,000 - 90,000; Full time

Job summary

A leading insurance firm seeks a Claims Manager to handle complex General Liability claims with minimal supervision. The ideal candidate must possess multi-state licenses and experience in environmental claims. Responsibilities include reviewing policies, investigations, and negotiations. This role requires strong communication and independent judgment skills to resolve claims efficiently.

Qualifications

• Experience handling GL Environmental and Asbestos claims nationwide required.
• Ability to create responsive work products and make judgments on complex factual situations.

Responsibilities

• Review and interpret insurance policies to resolve issues.
• Investigate claims, including meetings with insureds and obtaining statements.
• Attend mediations and negotiate settlements.

Skills

Claims management

Negotiation

Customer relations

Communication

Independent work

Education

Licenses in FL, TX, NY, and CA

Job description

Description

With minimal to no supervision, manage a claims caseload from assignment through resolution. Timely, accurately and efficiently assess claim coverage, liability, legal and damage issues, investigate, evaluate and, through negotiation, mediation, arbitration or litigation, achieve resolution of all assigned claims, including complex claims. Maintain good customer relations, good working relations with co-workers and other company personnel. Substantial independent action is required to resolve complex coverage, factual and legal issues. Keep claims and jurisdictional knowledge current. Occasional business travel may be needed.

Job Responsibilities

Timely, accurately and efficiently perform the following responsibilities, plus any other assigned by the manager; advise management on matters relating to these responsibilities:

1. Review, analyze, and interpret insurance policy conditions, exclusions, and endorsements to resolve coverage and liability issues across all lines of business.
2. Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers, collaborating with coverage counsel as applicable.
3. Evaluate claim reserves timely and appropriately, periodically reviewing to ensure reserves reflect potential exposure.
4. Prepare case summary reports for management regarding significant exposure and reserve issues.
5. Investigate claims to evaluate coverage and legal issues, including meetings with insureds and witnesses, obtaining statements, medical records, expert reports, defense counsel input, and other relevant evidentiary materials; overall evaluation of each claim’s liability and damages; and assessing the company's negotiation stance.
6. Document investigation and claims handling activities thoroughly.
7. Complete or supervise the completion of company reports for claims files.
8. Attend and negotiate through mediations, arbitrations, settlement conferences, or other court-supervised settlement efforts; settle claims with claimants, insureds, and their lawyers.
9. Manage claims proactively to resolution, preparing releases, proof of loss, and similar documents, and authorizing settlement payments.
10. Provide direction and manage defense counsel, independent adjusters, and third parties, including TPAs, involved in specific claims.
11. Familiar with reinsurance terms and concepts; communicate effectively with internal staff such as management and accounting.
12. Develop and maintain good working relationships with co-workers and other personnel.
13. Maintain current knowledge of corporate policies, claims environment, and jurisdictional regulations.
14. Keep leadership informed of industry trends impacting the business.
15. Participate in organizational projects as required.

#LI-Remote

Qualifications

• Experience handling GL Environmental and Asbestos claims nationwide required.
• Licenses in FL, TX, NY, and CA required.
• Ability to create responsive work products, communicate effectively both orally and in writing, develop and maintain good customer relations, make judgments on complex factual situations, negotiate settlements, interpret laws and policies, and work independently with high-quality output.

The above job description is not exhaustive of all duties, responsibilities, abilities, and functions associated with this role.