Glatfelter Insurance Group ยท 2 months ago
Liability Specialist
Glatfelter Insurance Group is a leading managing general agency in the U.S. seeking a Liability Specialist for their Claims Management team. The specialist will independently investigate liability claims, manage the claims process, and ensure customer satisfaction while adhering to company standards.
Financial ServicesInsurance
Responsibilities
Handles and/or monitors registration and coverage verification of claims
Handles and/or directs the investigation, negotiation and disposition of claims as the claim dictates within authority limits. Knows or finds out who to contact to get information needed
Checks extra sources or takes additional steps to obtain and verify information or resolve ambiguities. Demonstrates proficiency in developing targeted questions to obtain specific information when contacting and interviewing all involved parties
Evaluates claims and reserves claims within authority limits. Independently gathers documentation to evaluate damages
Settles claims promptly and equitably utilizing various settlement techniques such as ADR. Obtains releases
Authorizes and/or issues checks
Identifies and reviews potentially serious and complex cases with management; prepares and presents recommendations, including settlement versus defend-through-trial recommendations to coverage/reserve/settlement committees
Maintains a working diary system
Prepares reports for management, agents and bureaus as directed by management
Shares responsibility of selecting, monitoring and managing the network of independent vendors necessary to efficiently and effectively handle claims on a nationwide basis
Handles the timely assignment of independent vendors and assures efficient and cost-effective use of vendors
Shares responsibility of selecting, monitoring and managing outside legal providers for pre-litigation and litigation needs, and aggressively and effectively implements litigation management practices
Attends mediations, hearings and trials as assigned by management
Interprets and forms opinion on coverage. Considers positions of all interested parties within intent of policy and program
Issues coverage letters. Approval of coverage letters to be obtained as per procedures established by management
Informs claimant, insured or attorney of denial of liability and justifies denial when applicable
Ensures prompt and proper disposition of claims with assistance of a meaningful diary system
Recognizes, investigates and aggressively pursues recovery or contribution possibilities
Identifies claims with suspicious characteristics and manages fraud investigation
Reviews losses with reinsurance carrier as required
Represents GIG and GCM through continuous country-wide contact with insured, carriers, agents, claimants, attorneys, vendors, etc
Performs other duties as required by management
Qualification
Required
High School Diploma with five (5) years of experience handling complex and high exposure liability claims, or appropriate transferable concurrent experience in a related field
Must have or obtain the AIC designation within three (3) years of hire
Must have or obtain appropriate licenses within an aggressive period of time
Maintains licenses by fulfilling state continuing education requirements
Must be technically advanced in claims, including an advanced knowledge of the legal process
Ability to read and interpret complex insurance policies and make appropriate decisions grounded on those interpretations
Teaching knowledge of complex insurance coverages and procedures
Highly advanced knowledge of GCM workflow and procedures and GIG products and services to be obtained on a fast-track basis
Advanced negotiation skills
Ability to communicate effectively, both orally and in writing
Must have or obtain a working knowledge of a PC and related departmental equipment, systems and software within an accelerated period of time
Must speak clearly and exhibit the ability to reason and impart information to others
Must be imaginative, innovative, self-motivated and able to make sound, rational decisions
Able to cope with constant interruptions while maintaining a high level of composure and concentration in difficult and complex situations
Uses analytical ability and independent judgment within guidelines established by management
Objective in identifying loss exposures and translating them to fair, equitable settlements
Advanced ability to compose letters and reports explaining complex issues
Must be able to independently prioritize daily tasks and manage one's own time
Demonstrates leadership in team processes and contributes to improvements and the overall success of the assigned team to achieve unit, department and company goals
Preferred
Industry designation(s) and field experience is a significant asset and is strongly preferred
Appropriate college degree is an advantage
Should have attained or be working on AEI Senior Claims Law Associate, or equivalent
Benefits
17 paid holidays, (which includes a personal holiday and mental health and wellness day)
Variety of leaves for personal, health, family, and volunteer needs
Tuition reimbursement program for eligible associates