Senior Corp Claims Specialist - National Environment and Asbestos Experience

PMA Companies; Whitpain Township (Montgomery County); Remote; USD 80,000 - 110,000; Full time

Job summary

A leading company is seeking a claims manager to oversee a caseload of complex claims, particularly in GL Environmental and Asbestos claims. The role requires strong negotiation skills and relevant experience, managing customer relations, and ensuring effective claims resolution. Occasional travel may be required, and multiple state licenses are necessary.

Qualifications

• Experience handling GL Environmental and Asbestos claims nationwide required.
• FL and/or TX and NY and CA licenses required.

Responsibilities

• Manage a claims caseload from assignment through resolution.
• Investigate and evaluate claims to resolve coverage and legal issues.
• Document investigation and claims handling activities thoroughly.

Skills

Communication

Negotiation

Customer Relations

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.

Description of Job Responsibilities

Timely, accurately, and efficiently perform the following job responsibilities, plus any other responsibilities 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 for all lines of business.
2. Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues; partner with coverage counsel as applicable.
3. Evaluate claim reserves timely and appropriately, including periodic evaluations to ensure reserves reflect potential exposure.
4. Prepare case summary reports for management related to significant exposure and reserve considerations.
5. Investigate claims to evaluate coverage and legal issues, including meetings with insureds and witnesses, obtaining statements, medical records, experts, defense counsel, and other relevant evidentiary materials; provide an overall evaluation of each claim, its potential liability, damages, and the company's negotiating posture.
6. Document investigation and claims handling activities thoroughly.
7. Complete or oversee the completion of company reports for claims files.
8. Attend and negotiate through mediations, arbitrations, settlement conferences, or other court-supervised settlement efforts. Settle and resolve claims with claimants, insureds, and their lawyers.
9. Manage claims proactively to resolution, preparing releases, proof of loss, and similar documents; authorize issuance of settlement funds.
10. Provide direction to and manage defense counsel, independent adjusters, and other third parties, including TPAs.
11. Develop, maintain, and enhance good working relations with co-workers and other personnel necessary for job responsibilities.
12. Maintain current knowledge of corporate, claims, and jurisdictional environments.
13. Keep leadership informed of industry trends impacting the business.
14. Participate in organizational projects as required.

#LI-Remote

Qualifications

• Experience handling GL Environmental and Asbestos claims nationwide required
• FL and/or TX and NY and CA licenses required

Ability to:

• Create a work product and achieve results highly responsive to customer needs, consistent with company interests in prompt, efficient, and effective claims and customer service.
• Communicate clearly, accurately, and effectively, both orally and in writing, internally and externally, including with customers, claimants, opposing counsel, defense counsel, and the public.
• Develop, maintain, and enhance good customer relations with insureds, agencies, and their representatives.
• Make judgments about complex factual situations, negotiate settlements, and make appropriate decisions regarding all lines, including severe bodily injury claims.
• Recognize and interpret claims issues timely and accurately, and make appropriate coverage decisions.
• Apply and interpret applicable state law cases and statutes regarding liability, antifraud requirements, insurance issues, tort, and contract law within the territory.
• Read, understand, and interpret insurance policy contracts for all lines and apply them to factual situations.
• Comply with fair claims practices statutes and legal requirements.
• Follow company procedures.
• Work independently and with minimal supervision, including field operations occasionally.
• Maintain high-quality work output.

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