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Coverage Analysis :Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions.
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Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for moderate complexity Bodily Injury liability claims in assigned jurisdictions.
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Consults with Unit Manager on use of Claim Coverage Counsel. The position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims, or first party business property claims of moderate severity, or complexity.
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Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, Salvage and fire or fraud investigators and to other experts. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers.
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Under general supervision, the position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned General Liability related Bodily Injury and Property Damage claims.
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Resolve complex, severe exposure claims, using high service oriented file handling. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators and to other experts.
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Investigation/Evaluation:Investigates each claim to obtain relevant facts necessary to determine coverage, the extent of liability, damages, and contribution potential with respect to the various coverages provided through prompt contact with appropriate parties ( policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts.
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High school diploma or GED required with a minimum of one year bodily injury liability claim handling experience or two years of general liability claim handling experience. Develops litigation plan with staff or panel counsel, track and control legal expenses Assures appropriate resolution.
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2 years bodily injury liability claim handling experience preferred. Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
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Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives.
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Establish clear ground rules with defense and coverage counsel to maintain budget and work product expectations. Claims Complex Director - Healthcare Professional Liability (HPL) Join us as a Claims Complex Director to take on key responsibilities within a world-class claims function.
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The ideal candidate will have experience with diverse types of insurance coverage, such as: excess and surplus lines, general liability, construction defect, D&O, environmental, personal and advertising injury claims in Texas.
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Establish with defense and coverage counsel clear ground rules in order to maintain financial control of budget and expenses. You will be responsible for handling all aspects of complex directors & officers claims, including securities class actions, high exposure employment practices liability and fiduciary liability matters, from inception through conclusion brought against publicly traded, privately held and not-for-profit insureds.
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Making coverage determinations, investigating losses, evaluating and projecting potential exposuresMaking case presentations, setting judgmental reserves, developing and implementing resolution strategiesEffectively strategizing and budgeting litigation of each claim through discussions with counsel, vendors and insureds.
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How you will create an impactThe Complex Director within the Lexington and AIG Programs team is Senior Adjuster role in Primary Claims responsible for investigating, evaluating, and negotiating General and Auto Liability claims nationwide which may have unique coverages and exposures while maintaining a high standard of customer service.
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