Claims Representative - Ocean Marine

New York City
Competitive salary and comprehensive benefits package
Apr 05, 2017
Jun 04, 2017
OM
Claims
Full Time
  • Investigate, evaluate and negotiate moderate to highly complex ocean marine cargo claims, including litigation, coverage issues and subrogation to ensure compliance with Claim Handling Guidelines &/or requirements of principals regarding TPA business, including reserving and payment practices, resource management, regulatory requirements and Fair Claims Practices Acts.  Knowledge of hull and P & I claims a plus.
  • Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority. Manage, control and negotiate timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policy and procedures. Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required. Assigns the defense of lawsuits to defense counsel; directs and monitors quality and performance of defense counsel.  Maintains compliance with all requirements of the company’s Litigation Management Program. Review and adjusts, where appropriate, fee bills and legal expenses for accuracy and reasonableness. Maintains regular reporting of case status, developments and direction to Home Office staff and other appropriate parties as necessary. Ensures appropriate hard copy file reports and system documentation as required by company claim manuals and procedures.
  • 5+ years related Ocean Marine claims experience.
  • Inland Marine Adjuster License is expected, AIC, SCLA and/or CPCU are helpful but not required.