Casualty Large Loss Manager
- PURE Insurance
- Scottsdale, AZ, USA
Job Description
About the role.
The Casualty Large Loss Manager is a key member of the Casualty Claims team reporting to the SVP, Head of Casualty Claims. The role may be based remotely or in a regional PURE office. The primary goal of this position is the day-to-day management of the team of PURE Executive Claim Analysts (“ECAs”), providing daily technical guidance on strategic claim handling and ensuring the timely processing of all Large Loss Notices (“LLNs”) for our most complex claims. This person will ensure that the ECAs handle these complex claims in a quality manner and meet our high standards of accuracy, efficiency, customer service, and regulatory compliance.
What you’ll do.
Claims Handling Oversight
Review and approve all team coverage letters, including RORs and coverage disclaimers, within prescribed authority levels and communicate positions with agents and members in a timely and professional manner.
Ensure that all claim-related data is captured by the team in appropriate claim system(s)
Maintain diary on all required claims to oversee claim strategy in collaboration with the assigned ECA.
Be available to ECAs and capable of providing advice and consultation regarding all aspects of case strategy, including coverage analysis, investigation, evaluation, and negotiation on the vast majority of catastrophic injury claims.
Review, revise, and process all LLNs, Claim Alerts, and other detailed reporting documents as appropriate on a regular and timely basis.
Draw on years of experience with critical relationships with numerous vendors that operate in the complex claims space (including elite trial and appellate counsel, etc.) to maintain and leverage those relationships toward favorable results for our members.
Collaboration
Work with the ECAs to coordinate claim presentations to peers and senior management, as warranted.
Contribute as subject matter expert facilitating internal training of colleagues on topics of special interest or need in consultation with manager and Claims Department Leadership.
Support both internal and external business partners as casualty Subject Matter Expert in dealing with cross-functional teams (UW, Sales, RM) and agency partners regarding technical/functional business requirements and business development.
Serve as a technical resource within the Department through mentoring and knowledge-sharing, whether one-on-one, in small groups, or presentations to the larger organization.
Support the AVP Large Loss & Litigation in strategic projects by leveraging team relationships to facilitate key information in support of departmental objectives.
What we’re looking for.
10+ years of complex liability claims experience
Prior claims management experience is preferred
Experience handling complex and catastrophic liability bodily Injury claims
Excellent communication skills (verbal/written) and strong negotiation skills
Ability to travel +/- 25% to attend claim-related trials or mediations, as well as support the team of ECAs
Deep understanding of and experience in:
Development and execution of investigation of catastrophic injury claims
Litigation claims management, including ADR and mediation
The interplay between primary and excess coverage
Identifying and pursuing risk transfer/contribution opportunities
Evaluating catastrophic injury claims and setting appropriate reserves
Presentation to senior and executive management of catastrophic injury claims
Litigation costs and expenses, budgets, and overall cost-management strategies
Ability to step in and immediately:
Proactively develop the ECAs to support a healthy team culture and facilitate career development
Retain and develop a highly motivated and accountable team of experienced claim professionals
Track large losses on a month-to-month basis and communicate to superiors
Review claim audits and files on diary for opportunities to coach/develop adjusters
Identify issues in claim handling and recommend solutions
Provide technical claim recommendations to improve outcomes and adherence to BCPs
Provide expertise in reviewing, researching, investigating, negotiating, processing, and adjusting claims
Interact and communicate effectively with claims leadership, business partners, and teammates
Differentiate self as a leader in catastrophic personal lines claims
Education/Continuous Education requirements:
A Bachelor’s degree is preferred.
Demonstrated commitment to continuous learning and professional development including completion of one or more advanced educational or industry designations such as JD, MBA, CPCU, AIC, or CCLA.
Competencies:
Deep technical knowledge around complex and catastrophic injury claims.
Excellent interpersonal, listening, written, and oral communication skills.
Highly detailed and organized, capable of prioritizing multiple tasks and assuring consistent accuracy.
Demonstrate integrity, exhibit team spirit and enthusiasm, and establish trust and credibility.
Agile learner who can quickly absorb information and apply it to current business situations.
High sense of professionalism and ability to present oneself in any business environment.
Keen sense of empathy and ability to connect on emotional level with the team.
Want to Learn More?
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