What are the responsibilities and job description for the Litigation and Complex Claims Specialist position at Incline P&C Group?
About Incline P&C Group
Incline P&C Group is privately owned and operated with an exclusive focus on the program insurance market. Incline has a team of over 90 employees; headquartered in Austin, TX. It is our mission to provide the most effective and proficient environment for our partners by actively managing programs with a diligent focus on underwriting, claims, and enterprise risk.
Litigation and Complex Claims Specialist
Incline P&C Group is now hiring an experienced Litigation and Complex Claims Specialist to join its Claims team in Austin, TX. Incline P&C Group and its subsidiaries are fronting companies with claims handled by managing general agents (MGAs) or third-party claims administrators (TPAs). The ideal candidate will have previous P&C insurance carrier experience and experience working with MGAs and TPAs. This role will report directly to the Vice President of Claims and is a great opportunity for those looking for career growth in a dynamic and innovative organization.
Responsibilities :
- Review and respond to requests for settlement and reserve authority from MGAs and TPAs.
- Provide consultation, advice, and direction to MGAs and TPAs on claims issues such as coverage, reserving, responses to settlement demands, etc.
- Review and modify or approve responses to policy limits demands, denials of coverage, and payments as required by applicable contracts or otherwise requested by MGAs or TPAs.
- Review and understand reinsurance agreements as they affect claims handling.
- Assist management and MGA's in resolving complex insurance claims.
- Assist management and GA's with evaluating high exposure losses.
- Function as a liaison with reinsurers, internal parties, MGAs, and TPAs on claims related matters.
- Monitor MGAs and TPAs for compliance with regulatory requirements and with contractual requirements, including but not limited to compliance with applicable reinsurance agreements.
- Assist in conducting claims audits of MGAs and TPAs, including in-depth and specific targeted audits.
Requirements :
