Claims Consultant

Location
New York City, New York
Salary
Not Specified
Posted
Apr 12, 2018
Closes
Jun 11, 2018
Ref
750BR#GIJ--OneBeacon.1
Category
Claims
Job Type
Not Specified
Career Level
Not Specified
We currently have an opportunity for a Claims Consultant to join our Architects and Engineers team on a long term contract basis to manage our run off business. This position is responsible for resolving complex claims through investigation, evaluation and disposition for the A&E book of business.

Responsibilities:

  • Makes timely and appropriate contacts, determines and completes appropriate level of investigation for Architects and Engineers claims.
  • Determines coverage, prepares coverage correspondence for claims, and responds to coverage questions raised by insureds, TPA's and others.
  • Determines exposure, establishes adequate reserves and makes timely adjustments as required.
  • Selects, assigns and directs activities of internal and external resources as required; including independent adjusters, appraisers, attorneys and TPA's. Identifies questionable claims and consults with SIU for further direction as appropriate.
  • Determines settlement value of the loss and negotiates proper settlement of claims within authority. Provides recommendations for settlement and disposition of claims exceeding authority level.
  • Documents clearly and concisely all relevant activity on assigned files and makes recommendations for additional activity on assigned files and makes recommendations for additional activity as appropriate.
  • Anticipates and meets all customer needs (Internal and external).

Requirements:
Strong claims technical knowledge, and legal climate background is essential. Must have strong analytical and negotiation skill and ability to interact with customers and third party administrators. Must maintain a high level of accuracy, and provide follow-through on projects. Requires the ability to maintain confidential information and work independently and as a member of a team. Demonstrated proficiency with Microsoft Office Suite. Must have the ability to travel.

Education and Experience:
Bachelor's degree required with 5-7 years of complex, Architects and Engineers or other Professional lines claims experience.

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