Senior Construction Professional Liability Claims Specialist

Profile

Senior Construction Professional Liability Claims Specialist

Duties: The candidate will handle single and multi-party litigated and non-litigated commercial line claims of high exposure and complexity within specific limits of authority by following established protocols to ensure that claims are handled in the most efficient, effective way while delivering a customer-centric claims service. Document claims file by accurately capturing and updating claims data/information in compliance with best practices for high exposure and complexity Construction Professional line claims. Exercise judgement 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. Ensure customer service by proactively communicating information; responding to inquiries; following customer protocols and may participating in customer marketing efforts. Manage expenses by working within vendor approved networks and managing scope of work assigned to outside contractors. Departs from approved vendors with manager approval, where in the best interests of the insured. Ensure legal compliance by following state and federal laws and regulations and internal control requirements. Refer claim to subrogation and fraud teams by identifying potential subrogation and fraud. Contribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as needed. Protect reputation by keeping claims information confidential. Maintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks. And participating in professional societies.

Additional Information

Job ID: 96811

Company info

Zurich Insurance Company Ltd
6300 Canoga Ave
Woodland Hills
California
United States 91367
Website : http://www.zurich.com/