Senior Liability Claims Specialist
2 weeks ago
Position Summary:
We are seeking a seasoned Senior Liability Claims Specialist with a focus on managing General Liability claims, particularly those involving litigation. The ideal candidate will possess mediation and trial experience, complemented by a minimum of 5 years in claims adjusting or a related field, with significant exposure to complex litigation.
Key Responsibilities:
- Manage a diverse caseload of approximately 150 claims, varying in complexity.
- Conduct thorough investigations to establish facts of loss, analyze coverage, and determine liability, compensability, and negligence.
- Coordinate medical care as necessary and oversee litigation processes, including damage assessments and settlement negotiations.
- Identify potential fraud and engage authorized vendors as needed.
- Ensure timely reserve analysis and completion of reports, adhering to state statutes and client guidelines.
- Participate in conferences and client meetings, providing mentorship to junior adjusters and supporting management as required.
Essential Duties:
Coverage Analysis:
- Evaluate and confirm coverage details.
- Maintain regular communication with all relevant parties to ascertain liability and compensability.
- Respond promptly to inquiries and provide necessary information throughout the claims process.
Investigation and Settlement:
- Verify claims facts, including employment and damages, and assess cases for potential settlement.
- Negotiate settlements and evaluate liens, while identifying and reporting potential fraud cases.
Litigation Management:
- Develop and implement a litigation strategy in collaboration with defense counsel, ensuring compliance with all filing requirements.
- Review litigated files regularly and document all developments, including depositions and responses to filings.
Reporting and Resolution:
- Document action plans in the claims system and maintain regular diaries for case monitoring.
- Ensure all claims are closed in a timely and efficient manner, maintaining a high closing ratio.
Qualifications:
- High School Diploma required; a college degree is preferred.
- A minimum of 5 years of experience in claims adjusting, with a focus on complex litigation.
- Must possess or be eligible for a Florida Adjuster's license or equivalent licensing in other jurisdictions.
- Advanced negotiation and litigation skills are essential.
- Strong organizational and time management abilities are required.
About NARS:
North American Risk Services (NARS) is a leading third-party claims administrator committed to delivering optimal results for our clients. Established in 1996, we specialize in managing claims for insurers, brokerages, managing general agencies, reinsurers, and self-insured entities.
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