Description

• Review initial notice of claim to determine coverage validity and eligibility for streamlined processing. Identify appropriate actions for cases with questionable or absent coverage.
• Assign work to Claims Representatives and delegate settlement authority in collaboration with the Claims Vice President or Unit Manager. Retain higher settlement authority for complex cases and refer matters beyond scope to Unit Managers.
• Supervise investigations and oversee the settlement or disposition of claims, ensuring prompt contact with insured parties and claimants, timely investigations, and fair settlements.
• Establish and review loss reserves to accurately reflect the company's obligations, making adjustments as necessary.
• Settle claims directly as needed, based on office size, territory, and workload.
• Evaluate the performance of Claims Representatives on open cases and at regular intervals, providing guidance and identifying areas for improvement.
• Initiate subrogation or recovery proceedings as appropriate. For litigated cases, coordinate and direct the activities of Claims Attorneys, and negotiate and authorize settlements.
• Participate in human resources processes for the unit, including conducting performance evaluations, implementing training and development, and supporting salary administration.
• Oversee recruitment and staffing for the unit as vacancies arise.