Carrier located in Irving is currently seeking a Sr. Claims Representative to join their branch office located in Irving, TX .
Position Summary: This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto and General Liability). This includes assessing claim coverage, liability, legal and damage issues, and investigating, evaluating, and effectively resolving all assigned claims in a timely manner according to company and regulatory guidelines. Provides a high level of customer service to internal and external business partners.
Primary Responsibilities:
• Review, analyze, and interpret policy conditions, exclusions, and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues
• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Provide proper documentation and reporting of investigation and claims handling activities
• Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
• Identify and pursue (if applicable) risk transfer opportunities
• Other duties as assigned
Qualifications:
Minimum of 5 years of experience with the following:
Coverage Review – interpreting policies, agreements/contracts, reservation of rights, and disclaimers
Claims Investigation – Statements, authorizations, retention of qualified experts and counsel
Claims Administration – Reports, review reserves, compliance knowledge of laws and procedures
Claims Settlement – Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
Knowledge of coverage, negligence principles, investigation, and negotiation techniques
Ability to obtain and maintain state adjusting licenses, as needed
Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
Ability to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
Ability to manage and organize workload of multiple tasks simultaneously
Excellent judgement, negotiation, and decision making skills
Must be able to travel between different off-site locations or overnight in an expeditious manner
Experience in handling liability claims in Oklahoma and Texas.