What you'll be doing:
Responsible for handling large, complex claim files, including litigated matters, catastrophic claims, umbrella claims, punitive damage claims, severe injury, long duration indemnity, permanent total disability, structural building damage, multiple location damage, including business income exposure and other extensive exposure claims, in accordance with applicable state and federal laws. Set reserves and settle claims within level of authority. Direct work of defense attorney. Actively share knowledge with team members, contribute to training programs, and mentor other claim representatives. Stay abreast of current and emerging complex litigation claim settlement issues, trends, court decisions, plaintiff bar activities, and partner with key CM Group stakeholders to share information and analyze potential impacts on our products and chosen markets.
On any given day, you'll:
Conducting detailed information gathering, analysis and investigation to find solutions to issues that are numerous and undefined.
Reporting to senior management and underwriters on claims trends and developments.
Analyzing claims forms, policies and endorsements, client instructions, and other records to determine whether the loss falls within the policy coverage.
Investigating claims promptly and thoroughly, including interviewing all involved parties.
Managing claims litigation.
Properly setting claim reserves, taking into account how different policy wordings impact the claims reserving process.
Preparing reports for file documentation.
Applying creative solutions which result in the best financial outcome.
Negotiating highly complex settlement packages within scope of authority in order to settle claims in most cost-effective manner.
Processing mail and prioritizing workload.
Responsible for telephone calls and written correspondence to/from various parties (insured, claimant, etc.).
Having an appreciation and passion for strong claim management.
Here's what we expect:
Bachelor's degree preferred. A combination of equivalent education and/or experience may be considered in lieu of a degree.
Evidence of continuing education in the insurance industry is required.
Additional legal education or law degree is highly desirable.
AIC and/or CPCU designation is highly preferred.
Typically, fifteen or more years in technical insurance claim roles with increasing responsibilities is required.
Ability to obtain and maintain state adjusting license requirements and complete continuing education requirements.
Advanced knowledge of recoveries such as subrogation, reinsurance, apportionment, and deductibles.
Advanced knowledge of reinsurance contracts, workers' compensation pools, second injury funds, etc.
Advanced negotiation skills.
Strong listening, verbal, and written communication skills.
Advanced knowledge of policy terminology, legal principles involving insurance, and emerging industry trends.
Effective planning and organization skills.
Ability to travel to inspect loss sites, attend mediations, depositions, etc.
A deep knowledge of construction defect claims typically achieved through a minimum of:
Seven years of experience adjudicating construction defect claims with exposure of $100,000 or more.
Reviewing incoming tenders and evaluating additional insured status under the policy, as well as assessing risk transfer opportunities
Having an appreciation and passion for strong claim management
Church Mutual is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.
Exact compensation will vary based on consideration of a variety of factors including education, skills, experience, and location.
#LI-Remote