AVP, APA Teams, North American Claims Group
3 weeks ago
Job Summary:
Investigate, evaluate, and resolve claims made against the Company's behavioral health and psychiatry program business including psychiatrists, psychologists and other behavioral health care providers liability. Engage in collaborative projects in support of other areas of the company, including underwriting, finance and accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.
Job Duties:
• Efficiently manage a vigorous caseload of claims. Promptly investigate matters, analyze coverage, draft accurate and timely coverage correspondence. Manage litigation by effectively interacting with insureds, brokers, defense counsel and other parties as required.
• Instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope of delegated authority.
• Approve reserves, payments and other actions consistent with authority.
• Interact with underwriters concerning renewals and prospective accounts as well as individual claims and policy issues.
• Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as required.
• Prepare claim summaries and other reports as necessary for management.
• Attend and/or present at relevant industry conferences/meetings.
• Assist with claims related queries in internal and external audits.
• Work with reinsurers as needed.
Qualifications
• A minimum of 7-10 years' experience handling medical liability insurance claims or related relevant experience. Experience in handling specialty lines claims is preferred. Four-year college degree is required, but a J.D, is strongly preferred.
• Substantial knowledge of issues underlying medical malpractice claims and coverage issues. Excellent negotiation and communication skills. Technical writing experience. Proficient in Microsoft Office products.
About Fairfax
Fairfax is a holding company which, through its subsidiaries, is engaged in property and casualty insurance and reinsurance and investment management.
About Allied World
Allied World, through its subsidiaries and brand known as Allied World, is a global provider of innovative property, casualty and specialty insurance and reinsurance solutions. Allied World offers superior client service through a global network of offices and branches. All of Allied World's rated insurance and reinsurance subsidiaries are rated A by A.M. Best Company, A by Standard & Poor's, and A2 by Moody's, and our Lloyd's Syndicate 2232 is rated A+ by Standard & Poor's and AA- by Fitch.
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