Senior Claim Analyst, CD
Company: The RiverStone Group
Location: Manchester
Posted on: May 4, 2024
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Job Description:
Description
Job TitleSenior Claim Analyst, CDLocationHybrid (Manchester, NH or
Rockville Centre, NY) or RemoteSummaryReporting the Unit Manager,
this role will be responsible for direct handling of multi-line
commercial claims including Auto, General Liability and
Construction Defect claims. Duties include investigation and
evaluation of coverage, liability and damages issues. The role will
be responsible for claim evaluation, establishment/recommendation
of adequate reserves, litigation management, case resolution and
transaction processing in alignment with the Company's and Client's
Strategic Vision. Essential FunctionsIn addition to essential
functions of a Complex Claim Analyst, the Senior Claim Analyst
handles more complex cases and/or industry specific cases that
include higher exposure with an increase in severity and
complexity.Mastery of the Complex Claim Analyst functions and
Company's and Client's systems.Anticipates and identifies risks and
opportunities on coverage and liability.Mentors and guides less
experienced claim analysts. Assists the Unit Manager with
departmental problem solving. Manages external relationships
including third party administrative oversight.Serves on
Companywide committees and projects as assigned.Directly handles
and/or assists in monitoring, reviewing, and coordinating the
activities involving commercial and personal lines insurance
claims, including analysis of coverage issues, establishment of
adequate reserves, and the resolution and closure of claims.Reviews
loss notices; confirms and interprets policy coverages; establishes
adequate reserves; and investigates and handles claims involving
primary, umbrella and excess policies.Manages litigation with
Preferred Counsel under Alternative Fee Arrangements or other
defense fee structures. Pursues and maximizes all risk transfer
opportunities by contract or by insurance policy language.Assigns
and manages of work of defense counsel, assignment of expert
witnesses and interfacing with peer carriers including design and
execution of defense and indemnity contracts, evaluation of
liability and damages and participation in settlement
negations.Ensures proper file setup, reserving, general handling
and application of company procedure. Participates in developing
claims handling strategy, including defense coordination,
litigation strategy and budgets, and expense control.Records
specific claims information and reports as appropriate to a manager
relative to pertinent financial and general statistical records.
Maintains diary control, investigates, analyzes, and reports to
ensure maintenance of proper reserves to reflect the company's
exposure and reports to our Reinsurance Department to assist in
providing notice to reinsurers and the Reinsurance Department's
recovery of specific amounts when payment exceeds the company's
retention.Handles large volume of diverse and dynamic claims
effectively.Empowered to make decisions within job description and
authority. Seeks guidance where appropriate. Develops creative
ideas and solutions to real time business problems and /or business
opportunities; Takes reasonable, calculated risks even if failure
is possible.Empowers self and teammates to continuously improve
Company's business processes/systems and develops and escalates
ideas and solutions.Seeks continuous development by identifying
areas for growth and improvement. Works with team to implement
process and technical improvements.Consistently delivers superior
customer service to both internal and external business
partners.Understands Key Performance Indicators and manages towards
those priorities.Performs special projects and assignments related
to area of authority as necessary.Maintains
confidentiality.Establishes and maintains professional
relationships.Assists in Due Diligence inquiries as
assigned.Travels as required.Obtains and maintains claims adjuster
licenses in those states requiring them. OrganizationalDemonstrates
alignment with Company's Commitments. Prioritizes and organizes
work in self-directed manner. Attains and maintains knowledge of
assigned department.Performs other duties as required, including
supporting and coordinating with other department
colleagues.Related Functions: Leads Companywide initiatives and
projects as assigned.Required SkillsDemonstrates ability and
flexibility in a dynamic environment.Excellent analytical,
interpersonal and communications skills, both written and
oral.Customer service oriented with the ability for developing long
lasting relationships with internal and external business
partners.ExperienceMinimum of 5 years of claims handling experience
or a related field.Required EducationFour-year college degree
required or equivalent work experience.Preferred Education or
CertificationJD, CPCU, SCLA, CCLASupervisory RoleSchedule, assign,
and review the work of others in compliance with specific
instructions.TravelAs required, based upon business needs.Work
Environment / Physical DemandsThis position operates in a
professional,collaborative environment and must have the ability to
timely produce thorough, accurate work with many competing demands,
deadlines, and distractions.The position uses standard equipment
such as phones, computers, copiers/printers and filing cabinets.
Noise level is moderate.Other Duties (Disclaimer
Statement)RiverStone retains the right to change or assign other
duties to this position as needed, or other duties or
responsibilities may change or be assigned as needed.Core
CompetenciesCustomer Focus: Builds strong customer relationships
and delivers customer-centric solutions; gains insight into
customer needs, identifies opportunities that benefit the customer;
builds and delivers solutions that meet customer expectations and
establishes and maintains effective customer relationships.Timely
Decision Making: Makes decisions in a timely manner, sometimes with
incomplete information and under tight deadlines and pressure; able
to make a quick decisionEthics and Values: Adheres to an
appropriate( for the setting) and effective set of core values and
beliefs during both good and bad times; acts in line with those
values; rewards the right values and disapproves of others;
practices what he/she preaches.Learning on the Fly: Learns quickly
when facing new problems; a relentless and versatile learner; open
to change; analyzes both successes and failures for clues to
improvement; experiments and will try anything to find solutions;
enjoys the challenge of unfamiliar tasks; quickly grasps the
essence and the underlying structure of anything.Negotiating: Can
negotiate skillfully in tough situations with both internal and
external groups; can settle differences with minimum noise; can win
concessions without damaging relationships; can be both direct and
forceful as well as diplomatic; gains trust quickly of other
parties to the negotiations; has a good sense of timing.Priority
Setting: Quickly zeros in on the critical few and puts the trivial
many aside; can quickly sense what will help or hinder
accomplishing a goal; estimates roadblocks; creates focus; spends
his/her time and the time of others on what's important.Problem
Solving: Uses rigorous logic and methods to solve difficult
problems with effective solutions; probes all fruitful sources for
answers; can see hidden problems; is excellent at honest analysis;
looks beyond the obvious and doesn't stop at the first answers.Time
Management: Uses his/her time effectively and efficiently; values
time; concentrates his/her efforts on the more important
priorities; gets more done in less time than others; can attend to
a broader range of activitiesWritten Communications: Is able to
write clearly and succinctly in a variety of communication settings
and styles; can get messages across that have the desired
effect.Privacy Notice for California
Residentshttps://www.trg.com/california-consumer-privacy-notice/Diversity,
Equity, Inclusion & BelongingRiverStone Resources, LLC is an equal
opportunity employer, and all qualified applicants will receive
consideration for employment without regard to race, color,
religion, sex, LGBTQIA+, national origin, gender identity,
disability, protected veteran status, or any other characteristic
protected by law.
Keywords: The RiverStone Group, Manchester , Senior Claim Analyst, CD, Professions , Manchester, New Hampshire
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