Claim Specialist - Large Loss

Job description

BASIC PURPOSE: In accordance with application of state and federal laws and company best practices, handle higher exposure, complex claims within an assigned line of coverage including multi-jurisdictional and litigated matters. Gather and review claim information, determine coverage, and conduct investigation. Initiate and maintain customer contact to provide updates and resolve any issues with the claim. Update information in the claim system to document claim handling activities. Determine/set reserves and make payments within level of authority. Investigate and refer identified claims to Loss Recovery Services as applicable. This role requires knowledge of coverage forms and claims handling for General Liability (GL), Auto Liability, Professional Liability (PL), Employment Practices Liability (EPL), and Directors & Officers (D&O) lines of business. QUALIFICATIONS: - Perform claim tasks timely and document claim files appropriately. Proactively manage claim activities to ensure fair claim resolution. Handle all claims in accordance with state and federal laws. - Make complex coverage decisions by gathering information necessary to make an informed decision in a fair, equitable,...