JobMesh

Claims Senior Specialist

Westfield · Berkeley Heights, New Jersey, US

Duties and Responsibilities: - Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL,...

Job description

Duties and Responsibilities: Directly handle, manage and/or oversee commercial and financial lines Public and Private D&O, Financial Institutions E&O, EPL, Fiduciary and Crime/Fidelity claims. Handle claims in accordance with Claim Handling Best Practices in all phases of the claim including through initial contact, investigation of the claim, evaluation the claim for coverage and reserving for exposure, and in the resolution and documentation of claims. Provide top-notch customer service through all interactions and communications including with internal and external customers and business partners. Review and evaluation of policies to determine coverage. Resolve coverage-related matters working collaboratively with outside counsel when necessary. Complete written reports and present claims to management, underwriting, actuary and reinsurers on claim developments as needed. Adhere to all statutory regulations and Unfair Claims Practices Acts. Consistently communicate claim developments, exposure analyses and requests for authority to claims management. Participate in mediations, settlement conferences and otherwise see claims through to resolution. Work closely with underwriting a...