Coventry Workers' Comp & Auto Networks · 15 hours ago
Senior Liability Claims Analyst
Allentown, PA
Full-time
Remote
Mid Level
$53K/yr - $82K/yr
3+ years exp
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Hiring Manager
Mike Coleman
Insider Connection @Coventry Workers' Comp & Auto Networks
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Responsibilities
Promptly investigate all assigned claims for coverage, liability assessment and damages. Understands concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims toward resolution using Best Practices.
Investigate claims by interviewing claimants and witnesses, establish claim reserves, handle evidence, obtain evidence, obtain and interpret official reports, medical reports and claim forms, and attend/participate at mediation, trials or hearings.
Negotiate and settle claims, set reserves and manage litigation within client service parameters and authority levels by obtaining demands and making offers to claimants.
May present evidence at legal proceedings.
Direct appraisal and/or inspection of damaged property.
Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client.
Document plan of action in the claim system and set appropriate diaries.
Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution.
Close all files as appropriate in a timely and complete manner.
Maintain closing ratio as directed by management team.
Attend/participate at mediation, trials or hearings.
Attend external client meeting/seminars
Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors.
Complete PARs (payment authorization request) when applicable.
Comply with all excess and reinsurance reporting requirements; manage self-insured retention reporting.
Communicate effectively, verbally and in writing with internal and external parties on a wide variety of claims and account-related issues.
Provide a high degree of customer service to clients, including face to face interactions during claim reviews, meetings and similar account-specific sessions.
Provide assistance with company education and training.
Perform other duties as required.
Qualification
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Required
High School diploma or Equivalent required
At least 3-4 years of experience in an insurance, and/or legal related industry
At least 3-4 years of experience handling liability claims required; more experience may be required depending upon complexity of claim pending.
Completion of liability training courses internally and/or externally in all significant areas affecting liability claims handling and practices.
Preferred
Liability licenses, certifications, awards preferred.
Benefits
Medical
Dental
Vision
Health Savings Accounts / Flexible Spending Accounts
Life and AD&D Insurance
401(k)
Tuition Reimbursement
Company
Coventry Workers' Comp & Auto Networks
Coventry offers workers’ compensation and auto casualty provider network and specialty network solutions for employers, insurance carriers, and third-party administrators.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2020-03-02Acquired
Leadership Team
Christopher Atkinson
Chief Financial Officer, Coventry HealthCare Workers' Compensation, Inc.
Company data provided by crunchbase
