Claims Specialist
3 weeks ago
The Claim Specialist, under moderate direction from the manager, investigates and settles claims promptly, equitably, and within established best practices guidelines.
**Scope**
- Responsible for investigating; settling high exposure, high risk Employment Practices Claims.
- Ensure a high level of customer service and claim file quality.
- Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation.
- Evaluating exposure through an in-depth analysis of legal and factual issues, retaining and managing litigation counsel through trial, developing and managing strategy for complex litigation.
- Attending arbitrations, mediations, trials.
- Developing resolution strategies and negotiating settlements.
- Reviewing legal budgets and legal and third-party vendor’s bills.
- Presenting litigation strategy for complex litigation to senior claims management and underwriting staff.
- Support business leaders on an as needed basis on various claim and underwriting related issues and marketing meetings.
**Responsibilities**
Duties may include, but are not limited to:
- Day-to-day handling of substantial caseload of line of employment practices liability claims.
- Confirm coverage of claims by reviewing policies and documents submitted in support of claims.
- Analyze coverage and communicate coverage positions, as warranted, under direction of supervisor and coverage unit.
- Conduct, coordinate, and direct investigation into loss facts and extent of third-party damages.
- Direct and monitor assignments to experts and underlying defense counsel.
- Evaluate information on coverage, liability, and damages to determine the extent of insured's exposure.
- Set reserves within authority or make claim recommendations concerning reserve changes to supervisor.
- Report to reinsurers and facilitate the prompt collection of reinsurance on those matters where they are accountable.
- Ability to handle demanding caseload of claims pertaining to Employment Practices Liability and provide business support.
- Approximately 2-4 years experience in EPL or handling claims of a comparable complexity or working in a legal position with experience evaluating and resolving matters.
- Law degree preferred.
- If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.
**Desired Traits**
- Excellent interpersonal communications and negotiation skills.
- Ability to deal with customers in a professional manner.
- Authoritative knowledge of CHUBB coverage, products, services, and liabilities.
- Ability to self-motivate and self-start.
- Ability to make independent decisions using CHUBB best practices for guidance.
- Excellent verbal and written communication skills.
- Strong interpersonal, negotiation and customer service skills.
- Capable of dealing with highly visible and demanding customers.
- Highly organized and able to respond to insureds and internal and external business partners in a timely manner.
- Must be able to effectively work in a team environment.
- The Claim Specialist, under some direction from the manager, investigates and settles claims promptly, equitably and within established best practices guidelines.
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