Senior Claim Representative - Legal

The Senior Claims Representative will manage and resolve complex commercial casualty claims with minimal supervision, requiring excellent communication, problem-solving, and decision-making skills.

Requirements

• Promptly and efficiently adjust a caseload of complex and volatile casualty claim files
• Maintain an active diary and updated plan of action on 100% caseload files
• Adhere to assigned authority limits for reserving and payments
• Exercise independent decision-making skills with minimal to moderate supervision
• Evaluate coverage thoroughly for each claim received and work closely with internal counsel
• Investigate the facts of each claim, including obtaining key documentation
• Evaluate each claim's value, recommend appropriate reserves, and ensure that reserves are maintained at appropriate levels
• Evaluate and make decisions regarding coverage, liability, and compensability
• Negotiate settlements or deny payments where no coverage, liability, or compensability exists
• Attend mediations, settlement conferences, arbitrations, and trials when appropriate
• Identify and thoroughly investigate all recovery and subrogation opportunities for each claim
• Return all telephone calls within one business day, when possible
• Maintain personal compliance with all continuing education requirements as mandated by statute or by office policy
• Provide occasional training and mentoring for other members of the team as well as the claims department
• Adhere to the company's code of ethics