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Claims Analyst, North American Claims Group
2 months ago
Job Description - Claims Analyst, North American Claims Group (2400002U)
Job Description
Claims Analyst, North American Claims Group
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(
2400002U
)
Description
Job Summary
Supervise Company’s third-party administrators (“TPAs”) and their handling of claims made against the Company’s Property and Casualty insurance policies.This supervision includes oversight of TPAs investigation, evaluation, and resolution of construction, auto, general liability, professional liability, and first party property claims.Actively manage TPA’s handling of claims with significant exposures. 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
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Efficiently manage a vigorous inventory of claims involving a broad spectrum of accounts and coverage including
construction, auto, general liability, professional liability, and first party property claims
. Promptly analyze coverage, review and approve TPA coverage letters, draft coverage letters as needed, and manage litigation by effectively interacting with insureds, brokers, defense counsel and other parties as required. Establish timely and appropriate reserves and regularly report claim developments and trends to claims and underwriting management. Conduct audits of TPAs and represent Company in the resolution of claims and participate in legal proceedings, including mediations, if necessary.
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Work with other areas of the Company including underwriting, finance and accounting, actuarial, operations and technology on projects as requested.Prepare claim summaries and other reports as necessary for management.
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Perform other functions as needed and requested.
Qualifications
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2 years’+ experience handling liability insurance claims or related relevant experience.Four-year college degree is required.
Substantial knowledge the claims adjustment process.
Excellent negotiation and communication skills. Some technical writing experience.Proficient with Microsoft Office products, internet research and typing.
Ability to accurately and timely analyze coverage and collaborate with TPAs and counsel regarding litigation strategy and claim resolution.
Ability to identify issues quickly that are beyond delegated authority and communicate through management in order to achieve an efficient and effective resolution of the issue.
Special Responsibilities
Work requires the ability to quickly and accurately read, comprehend, analyze and produce written materials and to use a computer for long periods of time.Limited travel may be required.
Effective management of TPA personnel requires the ability to influence actions without direct supervisory authority.
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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