Adjusting license required; additional licenses may be needed based on state regulations.
Comprehensive understanding of state and federal laws related to Commercial Garage and General Liability claims.
In-depth knowledge of policy language and coverage for relevant claims.
Experience in third-party liability claims handling and risk transfer analysis.
Proficient in MS Office and Excel; strong computer skills.
Responsibilities
Provide early contact with insured to gather relevant information and documents.
Analyze coverage and prepare coverage position letters, including reservations of rights.
Communicate with underwriting regarding insured's risk potential and policy language.
Maintain organized diaries for file tasks and litigation events.
Oversee defense counsel throughout litigation, ensuring timely reporting and strategy development.
Prepare internal reports for documentation and reserve increase identification.
Attend mediation and settlement conferences to facilitate negotiations.
Benefits
Medical, dental, vision, and life insurance coverage.
Short and long-term disability insurance.
401(k) plan with a 100% company match on 6% contributions.
Employee Assistance Plan and wellness program.
Flexible Spending Account and Health Savings Account options.
Full Job Description
This position will be responsible for the direct handling of Commercial Garage and General Liability claims from receipt of claim or suit through resolution or trial/appeal.
Key Accountabilities/Deliverables:
Provide early contact with insured to identify witnesses, employees, contracts, other relevant documents and to obtain insured's knowledge of the allegations in the claim/suit.
Analyse coverage for application to claim and prepare coverage position letters including reservation of rights, disclaimers, tender to other parties and acceptance of tenders to insured where appropriate. Confer with internal and external coverage counsel where necessary to clarify coverage position and coverage litigation.
Communicate with underwriting as to insured's risk potential and for clarification of policy language intent.
Maintain diaries for file tasks, settlement conferences, mediations, and trial.
Oversee defense counsel from initial assignment of defense and throughout litigation to ensure timely reporting, confirmation of defense strategy and analysis of new developments. Collaborate with defense counsel to develop early litigation or settlement strategy. Ensured that Defense Counsel provides timely pretrial reports.
Maintain claim files, notes and documentation which comply with both internal guidelines and external regulations to include analysis of liability, damages, adequacy of reserves and outline of plan or next steps.
Prepare internal reports for file documentation and early identification of significant reserve increases for presentation to management and upper management for review.
Communicate with manager as to critical new developments and significant reserve increase recommendations, and potential settlement recommendations above handler's settlement authority.
Timely communication and reporting of critical or new developments to exterior carriers including coverage, litigation developments, reserves, and potential settlement opportunities.
Review and approve litigation budgets submitted by Defense Counsel.
Attend mediation and settlement conferences when required to facilitate and negotiate settlement.
Monitor and approve/reject litigation expenses recommended by Defense Counsel.
Prepare settlement drafts and review of releases for accuracy.
This role may require occasional travel for matters that cannot be handled through video conference.
Technical Knowledge and Understanding:
Adjusting license required; additional licenses to be obtained where required by a state to adjust claims within that state.
Possess a comprehensive understanding and knowledge of state and federal laws (including legislation) applicable to Commercial Garage and General Liability claims.
Possesses an in-depth understanding of the policy language/coverage applicable to Commercial Garage and General Liability claims
Knowledge of third-party liability claims handling and risk transfer analysis / coverage analysis required.
Computer skills - good working knowledge of MS Office, Excel
Experience:
Insurance adjusters license required.
College degree or equivalent work experience required.
Minimum five plus years' experience handling Commercial Garage and/or General Liability claims
Ability to travel.
Ability to negotiate and be persuasive.
Possess effective oral and written communication skills.
Strong time-management skills, as some tasks will be time sensitive.
#LI-Hybrid
At Core Specialty, you will receive a competitive salary and opportunities for professional development and advancement. We offer medical, dental, vision, and life insurances; short and long-term disability; a Company-match of 100% of a 6% contribution 401(k) plan; an Employee Assistance Plan; Health Savings Account, Flexible Spending Account, Health Reimbursement Account, and a wellness program
