Director - Strategic Claim Unit, Specialty Coverage

Washington, DC
Sep 20, 2018
Sep 21, 2018
Full Time
Description Job Summary The Strategic Claim Unit of Specialty Claim is currently recruiting for a seasoned coverage expert. The ideal candidate will have a minimum of seven years of in-depth coverage experience in professional liability and other Specialty lines of business. The individual in this position will handle complex coverage matters from the following claim areas: Professional Services (accountants, lawyers, architects and engineers, real estate, not-for-profit, and miscellaneous professional liability); Financial Institutions/Management Liability/Technology/Media (including public and private company D&O); and Healthcare (aging services facilities, nurses, dentists, hospitals, etc.). The individual in this position will work closely with claim professionals, other members of the claim teams, and internal and external business partners to analyze complex coverage issues, make coverage determinations, and resolve coverage disputes, all while maintaining a focus on customer service. The individual will assist with written and verbal communications regarding coverage with our customers, their counsel, claimants' counsel, and others. The individual will represent the company at mediations and other alternative dispute resolution proceedings; help manage coverage litigation; make recommendations regarding policy language; and provide formal and informal coverage training to our claim teams. A successful candidate will have outstanding communication skills and be able to work both independently and collaboratively, as the situation requires.A formal job description follows: Job Summary Individual contributor providing coverage analysis, claim oversight and/or litigation management services to one or more claim areas. May directly manage the most complex claims often requiring specialized interpretation of unusual fact patterns, policy coverages or precedent setting matters. Has ongoing relationship and accountability for the area being served. Essential Duties & Responsibilities 1. Oversees the most complex investigations of claims, liability and damages and determines claim strategy, including if claim should be settled or litigated. Develops and directs the execution of the litigation management strategy. 2. Counsels management on coverage analysis, legal risks, claim and litigation strategy and obligations in complex matters. 3. Manages litigation by staff, coverage or outside counsel. Monitors trials, tracks legal and regulatory developments. Advises management and claim professionals regarding issues, approaches and impact of changes. 4. Directs the negotiation of the most complex settlement packages, ensuring adequate reserves and cost effective settlements. 5. Provides research, legal analysis, counsel and guidance on legal or claim handling questions or issues. 6. May participate with senior management in the development and implementation of claims policy and business strategy. May perform additional duties as assigned. Reporting Relationship AVP or above Skills, Knowledge & Abilities 1. Senior level knowledge of the theories, principles, practices and procedures of claim and litigation management within an insurance organization. 2. Excellent technical and product specific expertise, claims resolution skill and knowledge of insurance and claims principles, practices and procedures. 3. Excellent verbal and written communication and presentation skills. Excellent negotiation, consultative and facilitation skills with the ability to effectively interact with all internal and external business partners. 4. Ability to exercise independent judgment, and to work with and maintain confidential and sensitive information. 5. Excellent analytical and problem solving skills, and senior level skill in managing ambiguous situations and issues. 6. Creativity in resolving unique and challenging business problems 7. Proven ability to take a proactive long-term view of business goals and objectives in order to achieve strategic business results. 8. Knowledge of Microsoft Office Suite and other business-related software. 9. Value driven to provide superior solutions to internal and/or external customers. 10. Acts with a sense of urgency to advance priorities of the organization. Helps other to excel through collaboration and building strong relationships. 11. Raises expectations of self and others by continuously learning and broadening industry and technical skills. Education & Experience 1. Bachelor's degree with JD preferred or equivalent experience. 2. Admission to the bar of at least one state preferred. 3. Typically a minimum of ten years of claims or legal experience with a proven track record of positive results. Job Claim

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