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Litigation/Attorney/In House/Richfield, Ohio

Richfield OH Senior Claims Examiner - Captive BI The candidate will direct handling of high exposure serious bodily injury (BI) claims, complex coverage, liability issues, and litigation for claims throughout the United States, involving state specific laws and regulations, with an emphasis on strong communication and customer service. Will work with supervisory staff to coordinate and conduct professional development and mentoring opportunities for the claims staff. Initiate the investigation of new claims, make liability decisions, evaluate and negotiate settlements of BI features as appropriate. Review each claim for coverage issues utilizing coverage counsel opinions and working with underwriters and product managers regarding decisions to extend or deny coverage. Establish reserve setting in accordance with company policy. Communicate settlements and reserve increases to insured s as required by specific handling instructions. Prepare and present occasional status reports and telephone conferences at the request of the insured. Refer law suits to approved defense counsel and manage their handling, including the authorization of experts, surveillance, etc. Review and pay invoices of independent adjusters; attorneys and other vendors in a timely manner. Recognize state specific laws and claim regulations throughout the United States to insure that required state specific language is used correctly on releases and other claim documents. Maintain compliance with claims practicing guidelines for specific claim states. Document claim file notes clearly with all communications and activities that occur during handling of the claim using factual and objective information. Respond to time sensitive material including intercompany arbitration hearings, and department of insurance complaints. Maintain a current 30 day diary on all open claims. Obtain/maintain a non-resident adjuster license in various states. Resolve drivable Property Damage claims and close within 30 days, making sure evaluations and settlements are in compliance with state law. Assists claims supervisor in training new hires enabling them to learn the claims system and departmental procedures. Acts as a mentor to claims staff. Attend mediations, depositions, and trials as required. Perform other duties as assigned by the claim supervisor.

The candidate should have a Bachelor's degree and 5+ years of experience in handling complicated BI liability and serious injury claims, including litigated files, or equivalent experience. A Legal degree, CPCU, or other claim designation a plus. Commercial auto and multi-state experience helpful. Dual language ability a plus. Working knowledge of Microsoft Office and Outlook Express essential. Word, Excel and PowerPoint experience a plus. General knowledge of internet use, search functions, and research essential.
Legal 5 - 0 Full-time 2013-09-13
 
Litigation/Attorney/In House/Richfield, Ohio
Refer job# BBUZ35270
 
Senior Claims Examiner - Captive BI The candidate will direct handling of high exposure serious bodily injury (BI) claims, complex coverage, liability issues, and litigation for claims throughout the United States, involving state specific laws and regulations, with an emphasis on strong communication and customer service. Will work with supervisory staff to coordinate and conduct professional development and mentoring opportunities for the claims staff. Initiate the investigation of new claims, make liability decisions, evaluate and negotiate settlements of BI features as appropriate. Review each claim for coverage issues utilizing coverage counsel opinions and working with underwriters and product managers regarding decisions to extend or deny coverage. Establish reserve setting in accordance with company policy. Communicate settlements and reserve increases to insured s as required by specific handling instructions. Prepare and present occasional status reports and telephone conferences at the request of the insured. Refer law suits to approved defense counsel and manage their handling, including the authorization of experts, surveillance, etc. Review and pay invoices of independent adjusters; attorneys and other vendors in a timely manner. Recognize state specific laws and claim regulations throughout the United States to insure that required state specific language is used correctly on releases and other claim documents. Maintain compliance with claims practicing guidelines for specific claim states. Document claim file notes clearly with all communications and activities that occur during handling of the claim using factual and objective information. Respond to time sensitive material including intercompany arbitration hearings, and department of insurance complaints. Maintain a current 30 day diary on all open claims. Obtain/maintain a non-resident adjuster license in various states. Resolve drivable Property Damage claims and close within 30 days, making sure evaluations and settlements are in compliance with state law. Assists claims supervisor in training new hires enabling them to learn the claims system and departmental procedures. Acts as a mentor to claims staff. Attend mediations, depositions, and trials as required. Perform other duties as assigned by the claim supervisor.

The candidate should have a Bachelor's degree and 5+ years of experience in handling complicated BI liability and serious injury claims, including litigated files, or equivalent experience. A Legal degree, CPCU, or other claim designation a plus. Commercial auto and multi-state experience helpful. Dual language ability a plus. Working knowledge of Microsoft Office and Outlook Express essential. Word, Excel and PowerPoint experience a plus. General knowledge of internet use, search functions, and research essential.
 
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