Avp Claim Technical Officer

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AVP Claim Technical Officer
The candidate will monitor complex and high-severity cases by providing oversight to and direct handling of certain high-severity and complex matters, including but not limited to cases with a potential value over $2M, matters with unique coverage issues, matters involving high-profile insureds, International issues and/or upon request of senior management. Will have direct negotiation of settlements with Insureds and Claimants, based on sensitivity, severity, complexity or age of matter, as necessary. Ensures the effective management and implementation of strategic claim objectives and policies for a line of business in accordance with the company’s strategic plans. Provide oversight and management of systemic and quasi-systemic claim issues that cross all lines of business (e.g., COVID-19, opioids, etc.). Provide periodic reports and updates regarding exposures to senior management, actuarial and underwriting. Assures consistency of technical claim handling by coordinating the work of the Quality Technical Director and line of business Claim Leadership. Host meetings as needed to share information and ensure sound, consistent approaches in claim handling processes and procedures. Develop and issue technical claim handling bulletins and memorandum as needed. Develops and enforces Claim practices and procedures. Along with Quality Technical Director, implement necessary processes and procedures to ensure consistent, high-quality claim handling. Work with Claim Quality, Learning and Compliance to assure claim quality standards are consistent with current technical standards, policies, processes and procedures. Attend claim quality de-briefs and work with team leadership to develop work plans to address any deficiencies. Drives litigation management culture by serving as a focal point for a line of business efforts to improve litigation management culture. Works closely with claim professionals, litigation and panel counsel to advance Firms litigation management guidelines. Oversees and coordinates ongoing training for Financial Lines claim professionals. Proactively identifies training needs and partners with team leadership to plan, develop and present a line of business training to meet those needs. Works closely with another line of business Technical directors and managers and Claim Learning to ensure a coordinated approach to training across the Claim organization where there is a consistent learning or performance need. Ensures policy interpretation consistency by working with Underwriting, Claim and Coverage Counsel to coordinate and ensure a sound and consistent approach to claim management and coverage. Partners with Underwriting and Risk Control on a systemic and ad-hoc basis to provide technical insights regarding policy language and manuscript endorsements. Monitors are emerging trends by remaining current on trends and developments within functional areas of expertise and the insurance industry. Monitors news for relevant information. Disseminates information to claims staff, underwriting, product and actuarial as appropriate. Partners and collaborates with Reinsurance to analyze current and future facultative and treaty reinsurance products. Primary responsibilities of the role are primarily achieved through individual contribution and technical expertise. May perform additional duties as assigned.

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