Senior Claims Specialist - General Liability

3 days ago

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Coterie

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Baby Care Products • Diapers • Ecommerce • Design • Consumer Packaged Goods

11 - 50

Description

• Coterie is evolving its claims experience and we need a Claims Specialist (100% Remote). • You’ll be working closely with our Claims Leadership Team, assisting internal and external stakeholders. • Develop and implement strategy to resolve Commercial Casualty, General Liability, and Professional Liability claims of moderate to higher levels of severity and complexity, but may be required to handle volume. • Coordinate and collaborate with cross-functional Coterie team members on process, product, project, insurance, and other global enterprise initiatives. • Investigate claim and review the insureds' and claimants materials, documents, reports etc. • Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel, when necessary as well as review coverage counsel's opinion letters and analysis. • Develop and implement strategy relative to coverage issues which correlate with the overall strategy of matters entrusted to the handler's care. • Analyze coverage and damages for purposes of estimating, assessing and recommending reserves. • Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to claims inquiries from insured, counsel, underwriters, brokers, and senior management. • Negotiate resolution of claims. • Assist in the development, shaping, adherence to, and execution of best practices. • Maintain vendors list for field investigators, appraisers, experts, fraud investigators and CAT alerts. • Maintain contact and oversight with the TPA claim staff. • Work with underwriting on appetite selection, form development. • Identify and review of each jurisdiction's applicable statutes, rules, and case law. • Analyze, and direct initial risk transfer, subrogation action, additional insured issues, and contractual indemnity issues, to ensure equitable contribution across all claim stakeholders. • Manage defense counsel for expense control and direct counsel in accordance with resolution strategy for optimum outcomes. • Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves. • Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter.

Requirements

• 7+ years of claims experience at a TPA, insurance company and/or insurance claims loss adjustment service provider resolving third party premise liability bodily injury claims and third party property damage claims. • Experience with handling attorney represented, litigated third party premise liability claims, and third party property damage claims. • Considerable working knowledge of insurance industry and insurance claims operations particularly around commercial property and casualty claims, policy construction, ISO Commercial BOP forms. • Proper adjuster licensing in all applicable states. • Legal concepts and processes knowledge base. • Exceptional communication (written and verbal), influencing, evaluation, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines. • Strong time management and organizational skills. • Ability to take part in active strategic discussions. • Excellent collaboration skills, self-motivated and willing to take initiative. • Able to understand and synthesize day to day work within the team into trends, themes, successes and opportunities over periods of time. • Strong negotiation and persuasion abilities. • Exceptional interpersonal and client service skills. • Detail oriented and superior organizational skills. • Team player with the ability to collaborate with others. • Ability to work independently, with support, in a fast-paced, evolving environment. • Hands-on experience and strong aptitude with Microsoft Office.

Benefits

• 100% remote. • Health insurance through Aetna (we pay 100% of premiums). • Dental and vision insurance through Guardian (we pay 100% of premiums). • Basic life insurance (we pay 100% of premiums). • Access to flexible spending account (FSA) or health savings account (HSA) (for those using HSA eligible plans). • 401K plan (up 4% match with immediate vest). • Generous PTO and company paid holidays. • Continuing education stipend. • A culture with a deep belief in intentionality, inclusion, and treating you like the professional you are. • Formalized, universal mentorship via Coterie Core-Coaching program.