Demo

Senior Complex Claims Specialist

Berkley
Atlanta, GA Other
POSTED ON 12/21/2024
AVAILABLE BEFORE 12/17/2025

Company Details

 

Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability.  We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

 

The Company is an equal employment opportunity employer.

 

https://www.vela-ins.com/ 

Responsibilities

Under limited supervision, investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and/or professional liability claims of high exposure and complexity.

 

  • Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.
  • Investigate and evaluate liability.
  • Investigate and evaluate damages.
  • Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
  • Establish timely reserves within authority and re-evaluate throughout the life of the claim.
  • Maintain up-to-date, appropriate file documentation and written file notes.
  • Maintain an active diary and productive file inventory.
  • Timely complete all required large loss reporting.
  • Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.
  • Proactively control the work product and expense of outside vendors.
  • Develop and maintain positive customer relationships and provide superior customer service.
  • Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.
  • Work with designated assigned accounts.
  • Recognize and investigate fraud.
  • Comply with deductible/self-insured retention recovery protocol.
  • Meet all State licensing requirements.
  • Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
  • Regular and predictable attendance.

Qualifications

  • Four (4) year College Degree, or commensurate experience and training.
  • JD preferred but not required.
  • Industry designations preferred (CRIS, AIC, SCLA, etc.)
  • 7-10 years of complex claims handling experience, including General Liability, Excess, and Professional Liability claims.
  • In-depth knowledge of the insurance industry, including legal and regulatory environments.
  • Specific knowledge and expertise in New York Labor law and construction related claims preferred.
  • Prior experience as a claims manager is a plus but not required.

Additional Company Details

We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details

Sponsorship not Offered for this Role

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