Claims Executive

Overview

Hybrid
Depends on Experience
Contract - W2
Contract - 6 Month(s)

Skills

claim
legal terminology
legal research software
Microsoft Office
PDF Software

Job Details

As a Claim Executive, you will fulfill the Bond and Specialty Insurance (BSI) Claims mission by conducting thorough investigations, analyses, evaluations, and dispositions of claims as well as providing superior customer service in order to achieve desired results. Effectively manage all assigned BSI claims, typically of advanced to highest severity and complexity. Interact and collaborate with claim and underwriting colleagues as well as with external business associates (insureds, vendors, agents).

o Handle and resolve claims of advanced to highest severity and complexity with minimal supervision, including conducting in-depth investigations and analysis, identifying potential risks, liabilities, and coverage issues, and the negotiation of settlements.
o Independently conduct thorough review of Bond/Insurance policies, agreements, contracts, and legal documents to confirm coverage and obligations.
o Independently assess claim exposures and develop effective strategies for claim resolution. Interact and collaborate with internal departments as needed.
o Ensure compliance with BSI claims processes, procedures, and best practices, offering guidance and insights to internal stakeholders and clients as needed.
o Maintain thorough documentation of claim activities, decisions, and communications, adhering to record-keeping standards and confidentiality protocols.
o Communicate and strategically collaborate with outside counsel to proactively manage and strategize effective litigation, ensuring alignment with organizational goals.
o Independently prepare reports to management to accurately reflect loss development, potential/actual financial exposure, coverage issues, projected/actual recoveries and propose claim, recovery, and resolution strategies.
o Identify all recovery opportunities and, where appropriate, coordinate recovery efforts with the Recovery Management Unit and claims management.
o Ensure stakeholders/customers feel secure, respected, and cared for throughout the duration of the claims process.
o To perform the essential functions of this job, acquisition and maintenance of Insurance License(s) is required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and must obtain ongoing continuing education credits as mandated.
o Offer guidance, mentorship, and training to less experienced claims representatives to enhance their skills in claim handling performance.
o Perform other duties as assigned.
What Will Our Ideal Candidate Have?
o Bachelor s degree strongly preferred.
o Eight years of claim handling experience preferred
o Expert knowledge of legal terminology and skilled in legal research to effectively lead the claim process.
o Advanced grammar and writing skills with the ability to develop comprehensive, clear, and concise claim documentation preferred.
o Proficient in using legal research software (e.g. Westlaw, Pacer, LexMachina), Microsoft Office and PDF Software.
What is a Must Have?
o Associate s degree required.
o Six years of previous claim handling work experience required.

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About A4 Staffing LLC