The Claims Technical Consultant is responsible for resolving highly complex commercial property and casualty claims at the highest authority levels, delivering effective and efficient claims resolutions, and providing technical leadership within the claims organization.

• Examine and analyze policies, contracts, and claim forms to determine coverage on complex and multi-party claims
• Determine liability by gathering and analyzing relevant facts and applying applicable law and negligence principles
• Investigate losses via telephone, correspondence, or on-site inspection
• Request and review reports such as police reports, fire reports, medical records, and property inspections
• Review and hire liability and medical experts for litigated and pre-suit claims
• Utilize independent adjusting services when appropriate
• Establish and continually reevaluate accurate claim reserves throughout the lifecycle of the claim
• Manage litigation by assigning counsel, establishing litigation plans and budgets, coordinating defense activities, reviewing settlement potential, and authorizing payments
• Enter claim data accurately into claim systems for reporting purposes
• Collaborate on subrogation, arbitration, and salvage recovery
• Conduct Medicare lien analysis and negotiate liens when applicable
• Recommend and coordinate with outside legal counsel regarding defense strategy, including settlement or trial decisions
• Provide technical advice, direction, training, and mentoring to claims staff
• Attend settlement conferences, depositions, mediations, pre-trial hearings, and trials as needed
• Contribute to profitable growth by providing risk insights and trends to business units and customers
• Maintain professional and technical knowledge through education, networking, and industry engagement
• Stay current on legal and coverage trends across jurisdictions
• Act as a technical expert for internal teams and business partners
• Provide insights to improve product offerings, risk assessments, and policy language
• Present complex claims to senior leadership for authority and strategic direction

Qualifications:

• Effective verbal and written communication skills
• Ability to accurately keyboard and utilize multiple computer systems
• Ability to perform multiple duties in a fast-paced environment
• High level of professionalism with internal and external customers
• Strong organizational and prioritization skills
• Ability to analyze contracts and legal documents and take positions on claim issues
• Advanced insurance coverage interpretation skills
• Proven litigation management skills
• Effective presentation skills
• Advanced negotiation experience
• Strong analytical, critical thinking, and problem-solving skills
• Experience collaborating in a team environment and building cross-functional relationships
• Proactively shares and promotes insights
• Ability to gather perspectives from multiple teams to optimize outcomes
• Ability to analyze and apply insurance policy components for complex claims
• Ability to follow reserving processes for indemnity and expense
• Ability to determine scope and exposure of complex claims
• Ability to leverage trends and relationships to provide high-quality customer service
• Strong understanding of financial and actuarial trends and concepts
• Ability to communicate coverage determinations effectively to customers, clients, and brokers

Education Requirement

• Bachelor’s Degree and 15 or more years of experience in the Claims Technical area OR Juris Doctor and 4 or more years of experience in Claims and Litigation Management
• Must obtain and retain required adjuster licenses
• Microsoft Office experience required
• Knowledge of insurance regulations, markets, and products
• Advanced insurance education preferred such as AIC, CPCU, SCLA