Senior Litigations Claims Examiner

Pennsylvania Lumbermens Mutual Insurance Company

Position: Senior Litigations Claims Examiner Department: Claims

Reports To: Litigations Claims Manager

Position Summary: The successful candidate for this position facilitates, coordinates and expedites the handling of all high-severity casualty claims and controls PLM’s largest exposure cases in a prompt, fair and equitable manner.

Essential Functions and Responsibilities:

• Establishes accurate reserves in timely fashion.
• Determines verification and scope of coverage.
• Assists other unit members with settlement evaluations.
• Handles all complicated litigation and ensures trial preparation with attorneys.
• Attends mediation and settlement conferences.
• Analyzes insurance contracts.
• Communicates with the public.
• Maintains an appropriate diary date on files under direct supervision.
• Ensures that a file is proceeding towards a prompt, fair and equitable claim settlement.
• Directs responsibility for supervision of all subrogation and arbitration handling.

Knowledge and Skills:

• 10 years experience in casualty claims.
• Knowledge of MS Office.
• Prior supervisory experience helpful.
• Basic knowledge of various applicable state law systems.
• Strong understanding of the litigation process.
• Above average reading comprehension and math skills.
• Ability to deal with a variety of personalities.
• Ability to handle difficult situations, including upset policyholders in a courteous and professional manner.
• Experience controlling expenses.
• Proficient negotiation skills.
• Strong oral and written communication skills.
• Strong analytic skills and ability to pay close attention to detail.
• Strong customer service skills.
• Ongoing training through the Insurance Institute of America.
• College degree preferred.

Physical Requirements:

1. Ability to hear
2. Ability to speak clearly
3. Ability to write