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Great American Custom · 18 hours ago

Senior Claims Technical Director – Excess Claims

Los Angeles, CA

Full-time

Hybrid

Senior Level, Lead/Staff, Director/Executive

$141K/yr - $189K/yr

12+ years exp

Great American Custom is a significant player in the insurance industry, and they are seeking a Senior Claims Technical Director to manage a book of excess claims. The role involves investigating claims, ensuring compliance, and providing technical expertise while interacting with various stakeholders.

Insurance

Hiring Manager

Danaea Marlo, MA

Responsibilities

Manages a book of excess claims for a significant size, complex product(s) or for the line of business. Investigates and maintains claims

Reviews and evaluates coverage and/or liability

Secures necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims

Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary

May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority

Conveys the most complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties maintaining a professional demeanor in all situations

Ensures that claims payments are issued in a timely and accurate manner

Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements

Serves as the technical expert on a product(s) and/or line of business

Evaluates and makes recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business

Plans for and ensures that budget and performance targets are met

Provides technical advice to lower level positions and other functional areas

Interacts with underwriting and marketing regarding claims trend issues

May provide input to establishing policies and procedures

May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports

Performs other duties as assigned

Qualification

Catastrophic claims experienceMock trials experienceCourtroom case experienceExcess claims managementRisk ManagementInsuranceClaims investigationTechnical advicePerformance coachingPolicy establishmentBudget planning