James River Insurance Company · 16 hours ago
Claims Specialist - Executive Claims Specialist - Complex Claims - Commercial Bodily Injury
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Responsibilities
Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
Perform coverage, liability, and damage analysis on all claims assignments
Investigate allegations, determine facts based on evidence and interviews
Draft disclaimers and reservation of rights letters when coverage issues arise
Assign limited investigations and appraisals to independent licensed professionals
Manage a caseload of high complexity claims with delegated authority
Manage litigated files
Negotiate settlements, mitigate losses, and control expenses
Participate in and attend mediations to facilitate settlements
Maintain accurate documentation in claim files
Maintain a high level of communication internally with Claims management team and externally with insureds, claimants, attorneys and brokers
Act as a consultant providing technical expertise within specialty area to internal stakeholders
Provide technical guidance, assistance and training as needed for less experienced Claims professionals
Maintain a passing quality assurance score on all audits and QAs
Provide exceptional customer service to insureds, claimants, and attorneys, addressing inquiries, concerns, and providing regular updates on claim status
Ensure compliance with state regulations, industry standards, and best practices in claims handling, maintaining a high level of professionalism and integrity
Handle claims in accordance with established James River Claims Best Practices
Other duties as required by management
Qualification
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Required
High school diploma required
Minimum of seven years of P&C claims handling experience including working with complex coverage issues, handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorneys required for Claims Specialist
Minimum of ten years of P&C claims handling experience including working with complex coverage issues, handling liability and coverage issues, multi-jurisdictional claims, and negotiating settlements with claimants and attorneys required for Executive Claims Specialist
Adjuster license and/or certifications desired preferred
Preferred
Bachelor’s Degree preferred
Advanced Degree or Juris Doctorate Degree preferred
Extensive expertise in specific specialty area of claims, specifically bodily injury as well as experience analyzing coverage for Executive Claims Specialist
Project management and process implementation experience preferred
Company
James River Insurance Company
James River® is a specialty insurer operating on an Excess & Surplus Lines basis in all fifty states and D.C.
Funding
Current Stage
Late StageTotal Funding
unknown2002-01-01Seed
Leadership Team
Recent News
2024-12-09
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