Complex Claims Specialist - Berkley
Atlanta, GA 30346
About the Job
Vela Insurance Services provides specialized Excess and Surplus Lines Casualty and Professional Liability insurance solutions in the following four market segments.: Construction, Specialty Casualty, Velocity Smal Business & Professional Liability. We offer national service and local knowledge to our exclusive wholesale broker network and the businesses they serve.
The Company is an equal employment opportunity employer.
Responsibilities:
Under limited supervision, investigates, evaluates, negotiates, and resolves litigated and non-litigated bodily injury, property damage, personal and advertising injury, and/or professional liability claims of high exposure and complexity.
- Analyze coverage, identify coverage issues, and prepare coverage letters for supervisor approval.
- Investigate and evaluate liability.
- Investigate and evaluate damages.
- Manage litigation by assigning counsel from the approved panel where applicable, establish litigation plan and budget, coordinate with defense counsel, and continuously review the potential for resolution.
- Establish timely reserves within authority and re-evaluate throughout the life of the claim.
- Maintain up-to-date, appropriate file documentation and written file notes.
- Maintain an active diary and productive file inventory.
- Timely complete all required large loss reporting.
- Negotiate settlements within authority limit granted, and attend mediations, Mandatory Settlement Conferences, and/or Alternative Dispute Resolutions.
- Proactively control the work product and expense of outside vendors.
- Develop and maintain positive customer relationships and provide superior customer service.
- Timely identify all potential opportunities for co-insurance, transfer of risk and/or subrogation.
- Work with designated assigned accounts.
- Recognize and investigate fraud.
- Comply with deductible/self-insured retention recovery protocol.
- Meet all State licensing requirements.
- Adhere to all statutory regulations, Unfair Claims Practices acts, and corporate Best Practices.
- Serve as mentor for claims associates; provide technical advice.
- Assist management with administrative tasks as needed.
- Regular and predictable attendance.
- Other duties as assigned.
- Four (4) year College Degree, or commensurate experience and training.
- JD preferred but not required.
- Industry designations preferred (CRIS, AIC, SCLA, etc.).
- 5-7 years of complex claims handling experience, including General Liability, Excess, and Professional Liability claims.
- In-depth knowledge of the insurance industry, including legal and regulatory environments.
- Specific knowledge and expertise in New York Labor law and construction related claims preferred.
- Prior experience as a claims manager is a plus but not required.
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Additional Company Details:We do not accept any unsolicited resumes from external recruiting firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details:Sponsorship not Offered for this Role