Claims Practice Specialist Lead Professional Liability
Posted on: 25 Jul 2021
Syracuse, NY
Job Description
Position Summary:
Analyzes coverage and settles moderately complex claims in one or more of Gallagher Bassett’s specialty claims areas. Generally, incumbent does not work on workers compensation claims.
Essential Duties & Responsibilities:
Able to manage the full-life cycle of all assigned claims files.
Analyzes coverage and determines defense obligations.
Independently conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
Creates reservation of rights and coverage denial letters.
Negotiates settlements with clients, client attorneys, and Public Adjusters.
Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
Prepares reserve and settlement authority requests for client and carrier approval.
May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
Has a solid understanding of claims processing and the insurance brokerage business.
Has an in-depth understanding of the terminology and case law associated with their specialized claims niche/industry.
Handles claims consistent with clients’ and corporate policies, procedures and “best practices” and also in accordance with any statutory, regulatory and ethical requirements.
Provides guidance and/or supervision to lower level adjusters. Incumbents at this level should be able to work at full case load capacity
Additional Considerations:
Required:
High school diploma.
7 or more years related claims experience required.
Demonstrated ability to handle unique/challenging claims issues at a senior adjuster level.
Appropriately licensed and/or certified in all states in which claims are being handled.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Desired:
Bachelor's Degree
10 or more years of prior experience adjusting claims in applicable specialty area preferred.
Work Traits:
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges.
Analytical skill necessary to make decisions and resolve issues inherent in handling of claims.
Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation.
Gallagher
Rolling Meadows, IL
Founded in 1927 in a small office with only a handful of employees, Arthur J. Gallagher (NYSE: AJG) has grown to a multi-billion dollar Fortune 500 company. Gallagher provides insurance, risk management, and consulting services to businesses, communities, and people across the globe. We work with our other brands and outside industry partners to provide the most client-centric, expertise-driven solutions.
We are an international sales and marketing company that plans and administers cost-effective, differentiated property/casualty and human resource risk management programs as brokers, consultants, and third-party administrators.
Our mission is:
TO: Provide superior, cost-effective risk management products· and services that meet the ever-changing needs of our current and prospective clients, while continuing to strive for the highest professional excellence in the delivery of those products and services.
TO: Provide our employees with an opportunity for professional growth, personal satisfaction, and financial security.
TO: Build and maintain long-lasting, consistent, honest, and profitable relationships with our insurance markets that we recognize play a crucial role in meeting our clients’ risk management needs.
TO: Grow shareholder value by increasing our· client base, dedicating ourselves to increased productivity, profitability, and professionalism resulting in long-term earnings-per share growth.
We will accomplish our mission with the kind of leadership that will ensure perpetuation of our corporate culture and to create and maintain a "Gallagher Team" that is the very best at what we do.
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IndustryInsurance
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No. of Employees26,783+
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Website
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Jobs Posted936
