General Liability Claims Handler Iv

Profile

General Liability Claims Handler IV

Duties: Document claims file by accurately capturing and updating claims data/information in compliance with best practices for single and multi-party personal or commercial line claims of moderate to high exposure and complexity. Exercise judgment to determine liability by gathering and analyzing relevant facts; utilizing applicable law; establishing basic principles of negligence. Exercise judgment to determine policy verification and coverage determination by analyzing applicable coverage for claims and determining whether the loss falls within the coverage. Work to have a timely resolution to claims by developing case strategy; developing a case evaluation; escalating issues as appropriate. Establish timely reserves and perform ongoing review throughout claims cycle within authority limit by estimating and validating value of claims. Assess damages by calculating applicable damages or range of damages allowed by law. Negotiate settlement of claim by establishing appropriate negotiation strategy and utilizing available tools and resources within authority limits. Translate business objectives into clearly defined business cases, costs or schedules in order to support the achievement of claims. Monitor and control allocated human and material resources assigned to project work, maintaining financial and progress forecasting in order to ensure projects are delivered according to schedule and within budget. Supervise and quality-assure the drafting of key claims handling policy documents to ensure full compliance to the organization’s rules and regulations governing transactions. Oversee compliance with claims policies, procedures, systems and processes across multiple countries/Line of Business to protect the organization’s interests. Analyze key themes from a wide range of data sources in order to identify trends and areas for business improvement providing potential solutions. Contribute to the development of process and lead the implementation of systems and process improvements in claims handling. Provide technical guidance and recommendations as a subject matter expert in order to support the resolution of the most complex customer cases and develop precedents to improve customer service. Manage key internal and external stakeholder relationships across the organization in order to ensure colleagues are informed on relevant issues. Act as a technical expert for own team and internal customers and maintains up to date knowledge of own area of expertise so that operational claims team can best serve customers. Additional responsibilities will include: May participate in customer marketing efforts.

Additional Information

Ref. 85995

Company info

Zurich Insurance Company Ltd
3249 Quality Drive Floors 1, 2, 3
Rancho Cordova
California
United States 95670
Website : http://www.zurich.com/