Senior Complex Claims Specialist - Atlanta - ref. w09804219

Company Details:

We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.

The Company is an equal employment opportunity employer.

https://www.vela-ins.com/

Responsibilities:

• 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 all State licensing requirements.
• Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
• Regular and predictable attendance.

Qualifications:

• Four (4) year College Degree, or commensurate experience and training.
• JD preferred but not required.
• Industry designations preferred (CRIS, AIC, SCLA, etc.)
• 7-10 years of complex claims handling experience, including General Liability, Excess, and Professional Liability claims.
• In-depth knowledge of the insurance industry, including legal and regulatory environments.
• Specific knowledge and expertise in New York Labor law and construction related claims preferred.
• Prior experience as a claims manager is a plus but not required.

Additional Company Details: We do not accept any unsolicited resumes from external recruiting firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.

Sponsorship Details: Sponsorship not Offered for this Role