Senior Claims Specialist

10 or more years of industry experience (general liability is helpful for contracts)
Proficiency with claims reporting, advocacy, status and reserve adjustment concerns
Proficiency with Microsoft Office Products, specifically with Excel
Excellent organizational, interpersonal communication skills and ability to work in a team environment
College degree or commensurate experience

Review claim details to identify most applicable policy(ies) for reporting purposes
Report claim, add to tracking system
Request copy of all contracts that might apply
Review contracts for indemnity and subrogation opportunities or obligations
Review all applicable policies to determine coverage issues, approve defense counsel and vendors and advise insured of policy provisions
Update tracking spreadsheet, contact adjuster for consent for defense and vendor services
Provide insured with adjuster contact information
Update Producer and account team of any claim status, consent for vendors, or issues with counsel, rates or vendors
Determine appropriate timeline for client and account team updates
Act as liaison between Client, Insurer and Producer & Account team
Negotiate coverage and maintain advocacy through resolution of claim
Establish need for claim reviews between insurer, client and HUB
Review full contract, identify which party holds the risk exposure and determine whether the risk is shifted to the appropriate party
Review insurance and indemnification language and work with account team to confirm compliance
Work with account team to provide client with outline of terms and conditions not in compliance
Discuss recommendations with client and their counsel
Conference with other party and their counsel to discuss recommendations
Provide staff and clients with training and education on claims coverage requirements, issues and policy provisions as well as contractual risk transfer