OverviewThe purpose of this position is to provide direct handling of the company's Abuse/Molestation Liability Specialty Claims. Responsibilities of this position include coverage analysis, investigation, evaluation, negotiation, and disposition of assigned claims. Candidate must possess strong communication and litigation management skills to collaborate with insureds and defense counsel to direct litigation activities, budgets, and claim outcomes, while considering the overall impact on the customer and the company. The individual in this position will also ensure claims are processed within company policies, procedures, and within the individual's prescribed authority with exceptional standards of performance. This individual should possess strategic thought process skills to effectively and efficiently manage loss exposures. Job duties will include communication and collaboration with key stakeholders, training, development and providing thought leadership where requested. The position may require travel to mediations, arbitrations, settlement conferences, trials, training, or other proceedings, which may account for up to 10% of the specialist's time. All job duties and responsibilities must be carried out in compliance with applicable legal and regulatory requirements, including adjuster licensing in Selective's footprint states.
Responsibilities- Effectively evaluate and resolve coverage issues for Abuse/Molestation claims.
- Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
- Effectively and efficiently present claims and claim trends to Claims and Underwriting Leadership, including discussion of coverage, liability assessment, and ultimate exposure to the insured and company.
- Timely analysis of information in order to evaluate assigned claims to determine ultimate exposure to the insured and company.
- Effectively evaluate, negotiate, and resolve claims within delegated authority, utilizing the appropriate denials or releases.
- Provide required reports to claims, underwriting, reinsurance, and actuarial on significant exposure cases in a timely manner.
- Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
QualificationsKnowledge and Requirements- Experience in coverage analysis and claim evaluations.
- Superior communication, negotiation, and claim disposition skills, along with proven problem-solving skills.
- Excellent presentation skills.
- Moderate proficiency with standard business-related software (including Microsoft Outlook, Work Excel, and PowerPoint).
- Sufficient keyboarding proficiency to enter data accurately and efficiently.
- Must have valid state-issued driver's license in good standing and be able to drive an automobile.
Education and Experience- College degree required.
- JD preferred.
- 8+ years Casualty claims handling experience, with significant experience handling Abuse/Molestation Liability claims with a primary P&C carrier.
Total RewardsSelective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days of paid time off. Additional details about our total rewards package can be found by visiting our benefits page.
The actual base salary is based on geographic location, and the range is representative of salaries for this role throughout Selective's footprint. Additional considerations include relevant education, qualifications, experience, skills, performance, and business needs.
Pay RangeUSD $124,000.00 - USD $160,000.00 /Yr.
