Complex Claims Consultant - Program Law

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Complex Claims Consultant - Program Law
Duties: Manages highly complex investigations of claims, including coverage issues, liability, compensability and damages. Determines if a major claim should be settled or litigated and implements an appropriate resolution strategy accordingly. Effectively manages loss costs and claim expenses. Manages all types of investigative activity or litigation on major claims, including the posting of appropriate reserves in a timely manner. Coordinates discovery and litigation strategy with staff counsel or panel attorneys. Negotiates highly complex settlement packages, and authorizes payment within scope of authority, settling claims in most cost effective manner and ensuring timely issuance of disbursements. Makes recommendations on claims processes and resolution strategies to management. Analyzes claims activities; prepares and presents reports to management and other internal business partners and clients. Works with attorneys, account representatives, agents, quota share partners and insureds regarding the handling and/or disposition of highly complex claims. Keeps current on state/territory regulations and issues, industry activity and trends. May participate in industry trade groups. Provides guidance and assistance to less experienced claims staff and other functional areas. Responsible for input of data that accurately reflects claim circumstances and other information important to our business outcomes. Performs additional duties as assigned.

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