In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines Communicate effectively with customers on claims and account issues Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred Familiarity with coverage, negligence principles, investigation and negotiation techniques Strong organizational skills and detail orientation Ability to work independently, handle multiple tasks simultaneously and exercise good judgment Excellent verbal and written communication skills Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
02/27/2022
Full time
In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines Communicate effectively with customers on claims and account issues Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred Familiarity with coverage, negligence principles, investigation and negotiation techniques Strong organizational skills and detail orientation Ability to work independently, handle multiple tasks simultaneously and exercise good judgment Excellent verbal and written communication skills Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.
Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities: Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall financial outcomes. Within granted authority, assures appropriate loss and expense reserves were established with documented rationale. Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome. Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims. Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements. Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service. Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims. Manages litigation to achieve appropriate financial outcomes. Effectively manages defense counsel to properly protect the insured and PMA interests. Participates with claims management in the counsel evaluation process of staff and panel counsel. Makes recommendations for the addition / deletion of counsel. Potential regional travel for attendance at hearings and trials. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: A minimum of 7 years of progressively responsible experience in handling complex workers compensation claims and workers compensation litigation required. MN Workers Compensation experience required. Bachelor's degree desired. Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques. Strong organizational skills and detail oriented. Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment. Working knowledge of workers compensation claims handling practices.
01/31/2021
Full time
Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities: Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall financial outcomes. Within granted authority, assures appropriate loss and expense reserves were established with documented rationale. Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome. Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims. Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements. Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service. Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims. Manages litigation to achieve appropriate financial outcomes. Effectively manages defense counsel to properly protect the insured and PMA interests. Participates with claims management in the counsel evaluation process of staff and panel counsel. Makes recommendations for the addition / deletion of counsel. Potential regional travel for attendance at hearings and trials. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: A minimum of 7 years of progressively responsible experience in handling complex workers compensation claims and workers compensation litigation required. MN Workers Compensation experience required. Bachelor's degree desired. Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques. Strong organizational skills and detail oriented. Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment. Working knowledge of workers compensation claims handling practices.
Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities: Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall financial outcomes. Within granted authority, assures appropriate loss and expense reserves were established with documented rationale. Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome. Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims. Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements. Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service. Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims. Manages litigation to achieve appropriate financial outcomes. Effectively manages defense counsel to properly protect the insured and PMA interests. Participates with claims management in the counsel evaluation process of staff and panel counsel. Makes recommendations for the addition / deletion of counsel. Potential regional travel for attendance at hearings and trials. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: A minimum of 7 years of progressively responsible experience in handling complex workers compensation claims and workers compensation litigation required. MN Workers Compensation experience required. Bachelor's degree desired. Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques. Strong organizational skills and detail oriented. Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment. Working knowledge of workers compensation claims handling practices.
01/24/2021
Full time
Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines. Responsibilities: Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements. Tracks status of assigned clams, individually and in the aggregate, using available management reports and tools such as Excel, including but not limited to such information as permanency evaluations, hearing dates, attorney information, settlement evaluation, venue, judges, current litigation status, subrogation credits due, and overall financial outcomes. Within granted authority, assures appropriate loss and expense reserves were established with documented rationale. Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority. Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome. Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims. Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome. Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements. Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines. Communicates effectively with internal and external customers on claims and account issues. Provides a high degree of customer service. Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims. Manages litigation to achieve appropriate financial outcomes. Effectively manages defense counsel to properly protect the insured and PMA interests. Participates with claims management in the counsel evaluation process of staff and panel counsel. Makes recommendations for the addition / deletion of counsel. Potential regional travel for attendance at hearings and trials. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: A minimum of 7 years of progressively responsible experience in handling complex workers compensation claims and workers compensation litigation required. MN Workers Compensation experience required. Bachelor's degree desired. Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques. Strong organizational skills and detail oriented. Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment. Working knowledge of workers compensation claims handling practices.