Claim Director

JOB DESCRIPTION

The Claim Director, under minimal direction from the manager, investigates and settles claims promptly, equitably and within established best practices guidelines.

Scope


* Responsible for investigating; settling high exposure, high risk Employment Practices Claims, including class actions.


* Ensure high level of customer service and claim file quality.


* Identifying and evaluating coverage issues, preparing comprehensive coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation.


* Evaluating exposure through an in-depth analysis of legal and factual issues, retaining and managing litigation counsel through trial, developing and managing strategy for complex litigation.


* Attending arbitrations, mediations, trials.


* Developing resolution strategies and negotiating settlements.


* Reviewing legal budgets and legal and third-party vendor's bills.


* Presenting litigation strategy for complex litigation to senior claims management and underwriting staff.


* Support business leaders on an as needed basis on various claim and underwriting related issues and marketing meetings.

Responsibilities

Duties may include, but are not limited to:


* Day to day handling of substantial caseload of line of business claims.


* Confirms coverage of claims by reviewing policies and documents submitted in support of claims.


* Analyzes coverage and communicates coverage positions, as warranted, under direction of supervisor and coverage unit.


* Conducts, coordinates, and directs investigation into loss facts and extent of third-party damages.


* Directs and monitors assignments to experts and underlying defense counsel.


* Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.


* Sets reserves within authority or makes claim recommendations concerning reserve changes to supervisor.


* Reports to reinsurers and facilitates the prompt collection of reinsurance on those matters where they are accountable.


* Travels to conferences, mediations, and trials as necessary.Qualifications


* Ability to handle demanding caseload of claims pertaining to Employment Practices Liability and provide business support.


* Approximately 5- 7 years claims and/or legal experience in the EPL area including evaluating and resolving complex matters.


* Law degree preferred.


* If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure.

Desired Traits


* Ability to work independently and assimilate learning materials on many different subjects from various sources.


* Excellent interpersonal communications and negotiation skills.


* Ability to deal with customers in a professional manner.


* Authoritative kn...