Resolution Specialist

2 weeks ago


Houston, United States The Gray Insurance Company Full time

If you are a job seeker with a disability and require a reasonable accommodation to apply for one of our jobs, you will find the contact information to request the appropriate accommodation by visiting the following page: The Commercial Claims Resolution Specialist investigates commercial casualty claims. This position will gather claimant information, conduct on-scene investigations, work with outside counsel, and attend appropriate claim-related legal proceedings. DUTIES AND RESPONSIBILITIES Investigate commercial Casualty claims, including Auto and General Liability performing on-scene/site investigations when appropriate Verify coverage of incoming claims and oversee the accuracy of claim set-up Obtain initial medical reports, appraisals, and statements from claimants/witnesses Monitor incoming medical/legal reports and respond accordingly Obtain expert opinions as needed Complete timely reports and claim file diaries Effect settlements within prescribed limits Ensure timely claim payments Submits recommendations to Claims manager on cases exceeding settlement authority Manage outside counsel regarding strategy on litigated claims, making sure Claims management is involved on those above authority level Attend and participate in mediation Attend trials, giving testimony as needed Monitor vendor participation and apply gained knowledge/results appropriately Pursue all viable avenues of subrogation Visit assigned insureds at least once quarterly or as needed Ensure up-to-date knowledge and application of statutory/regulatory laws along each coverage line Mentor, assist, and share experience/expertise with peers Assist Branch Manager as needed Obtain required credit hours to maintain an adjuster license Other duties as assigned/ required. REQUIRED SKILLS Excellent communication skills with management, employees, and outsiders. Excellent computer skills with knowledge of Microsoft Office Suite or similar software. Ability to work independently with minimum supervision.

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