Description

• Review initial claim notices, assess coverage applicability, and screen cases for flow process eligibility. Determine appropriate next steps for claims with no coverage or questionable coverage.
• Assign work to Claims Representatives and, in coordination with the Claim Vice President or Unit Manager, determine and delegate settlement authority. Retain higher settlement authority as appropriate and refer matters beyond delegated authority to Unit Managers.
• Supervise investigations and oversee claim settlement or disposition by ensuring timely contact with insureds and claimants, prompt investigation, and fair resolution.
• Establish loss reserves to reflect the company's probable obligation and review and adjust reserves as needed.
• In some cases, directly settle claims based on office size, territory, and workload.
• Evaluate the work of Claims Representatives on open cases or at regular intervals, and provide coaching and guidance to support performance improvement.
• Initiate subrogation or recovery actions as appropriate.
• For litigated claims, coordinate with Claims Attorneys and direct claim-related activities as needed.
• Negotiate and authorize settlements within assigned authority.
• Participate in human resources activities related to direct reports, including performance evaluations, training and development, salary administration, recruitment, and staffing as vacancies arise.