Responsible for determining and discharging the company's contractual obligations under its various medical malpractice/medical liability policy contracts (commercial GL, constructions/defect, etc.) involving coverage analysis, investigation, legal defense, and loss and expense reserving. Incorporate all claims into company records and review for applicability of coverage. Present facts of claims, with recommendations, to committee as necessary. Establish initial loss and expense reserves. Maintain valid loss and expense reserves based on current investigation and legal discovery. Supervise activities of adjusters, investigators and defense attorneys to ensure that all claims are appropriately handled. Attend and participate in mediations/trials as necessary. Adhere to company procedures and guidelines as well as case law and statutory requirements when coverage is in question, and/or when paying or denying claims. Comply with reporting requirements of treaty and facultative reinsurers. Maintain current understanding of various unfair claim practices statutes. Prepare large loss reports where applicable.
BA/BS Degree and a minimum of 7 years multiple line claimsexperience with a focus on Commercial General Liability. Must have excellent written and oral communication skills. Must be PC literate. Must be available for 10% travel. Attend industry related seminars, workshops and/or courses for continuing education. JD a plus! Exposure to Architects/Engineers professional liability and environmental coverages a plus!