Vela Insurance Services (a Berkley Company) · 2 days ago
Senior Complex Claims Specialist
Wonder how qualified you are to the job?
Commercial InsuranceConsulting
Insider Connection @Vela Insurance Services (a Berkley Company)
Responsibilities
Under limited supervision, investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and/or professional liability claims of high exposure and complexity.
Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.
Investigate and evaluate liability.
Investigate and evaluate damages.
Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
Establish timely reserves within authority and re-evaluate throughout the life of the claim.
Maintain up-to-date, appropriate file documentation and written file notes.
Maintain an active diary and productive file inventory.
Timely complete all required large loss reporting.
Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.
Proactively control the work product and expense of outside vendors.
Develop and maintain positive customer relationships and provide superior customer service.
Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.
Work with designated assigned accounts.
Recognize and investigate fraud.
Comply with deductible/self-insured retention recovery protocol.
Meet and maintain all State licensing requirements at all times (see qualifications below).
Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
Serve as mentor for claims associates; provide technical advice.
Assist management with administrative tasks as needed.
Regular and predictable attendance.
Other duties as assigned.
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Four (4) year College Degree, or commensurate experience and training.
JD Preferred.
Industry designations preferred (CRIS, AIC, SCLA, etc.).
Eight (8) or more years claims handling experience or equivalent experience.
Extensive experience handling complex Construction Defect (CD) claims.
Experience with complex Bodily Injury (BI) claims.
In-depth knowledge of the insurance industry, including legal and regulatory environments.
Applicable adjusters license(s) required.
Benefits
Competitive compensation plan
Robust benefits package
Company
Vela Insurance Services (a Berkley Company)
Vela Insurance Services, a Berkley Company, is a leading insurance provider that specializes in excess and surplus lines business in Vela’s four market segments: Velocity Small Business, Construction, Specialty Casualty and Professional Liability.