Major Case Director

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Major Case Director
Responsibilities: Handles highly complex exposure claims based on Claim Guidelines. Directs and manages the use of independent investigators, appraisers, and experts. Selects directs and manages defense counsel including approval of budgets. Develops litigation/file disposition strategy. Attends mediations, settlement conferences, and trials. Reports to reinsurers as required by reporting guidelines. Assist Sr. Claim specialists with analysis of claim issues as needed. Verifies/analyzes applicable coverage for the reported loss. Establishes 24-hour contact and maintains appropriate contact with all involved stakeholders throughout the life of the claim file. Investigates each claim by gathering information, conducting interviews, taking statements, conducting website research as needed, and reviewing and analyzing reports and related bills. Identifies and addresses subrogation/contribution/SIU opportunities. Sets accurate/timely loss/expense reserves in compliance with Claim Guidelines. Evaluates negotiate, and authorize settlements with all stakeholders within designated authority. Selects directs and manages Vendors/Counsel including approval of defense budgets. Negotiates directly with claimants and claimant attorneys upon receipt of critical information. Drafts correspondence, including but not limited to, coverage letters to stakeholders as required. Maintains resident/nonresident adjuster licenses as required. Performs other duties as assigned.

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