Senior Claims Adjuster Professional Liability Claims

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Senior Claims Adjuster, Professional Liability Claims
Responsibilities: Handle claims made against insureds located nationwide, including coverage analysis, investigation, liability and potential exposure analysis, the development and implementation of resolution strategies for claims made and reported under various professional liability insurance policies. Effectively and promptly communicate with insureds, agents, brokers and underwriters. Litigation management including strategizing with defense counsel and experts on the defense of claims/cases in litigation, as well as declaratory judgment actions on coverage. Reserve claims files early & accurately, with goal of minimizing adverse development, and update reserves appropriately based upon claim development. Negotiate settlements; attend mediations, arbitrations & trials as appropriate (travel costs reimbursable). Manage & control Loss Adjusting Expenses spent on attorneys, experts, independent adjusters & vendors. Refer all potential policy limits demands, independent counsel, bad faith allegations/suits, DOI issues to VP, Professional Claims, and HIIG executive team, as appropriate. Present, analyze and make recommendations on reserves, coverage and strategy to VP, Professional Claims, underwriters and Executive Management both verbally and in writing. Coordinate with SIS to ensure State Licensing requirements are met and comply with State Guidelines for Good Faith Claims Handling. Maximize Recovery by identifying and managing subrogation & deductible protocol and actions. Prepare Large Loss Reports & Trial Alerts for Claims and Underwriting Management and Reinsurance. Participate in professional liability industry organizations and instructional seminars for CE and CLE credits. Accurately capture claims coding for ISO, Reinsurance and Loss Control purposes. Ensure fair and ethical policies and practices in all relationships and operations. Other duties as may be required due to change, growth and continuous improvement.

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