Technical Claims Spec II

Under limited supervision and established practices, the Technical Claims Specialist is responsible for the investigation, evaluation, and disposition of environmental and emerging risk general liability and business auto claims of moderate to high exposure.

Responsibilities:

• Investigates claims to determine whether coverage is provided; includes analysis of potentially applicable policy provisions and drafting comprehensive coverage position letters, sometimes in conjunction with Home Office Legal coverage counsel.
• Establish liability and verify damages. Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Unit Manager on cases which exceed authority.
• Works closely with defense counsel in managing litigated files according to established litigation management protocols.
• Identifies and appropriately handles suspicious claims.
• Identifies and appropriately handles claims with third party subrogation potential.
• Establishes and maintains accurate reserves on all assigned files. Makes timely reserve recommendations to Unit Manager on cases which exceed authority.
• Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds.
• Monitors trials and reports daily to Unit Manager. Makes recommendations regarding strategy based upon developments.
• Confers directly with policyholders on coverage and resolution strategy issues.
• Establishes and updates -Action Plans- on assigned claims which clearly reflect file status and disposition strategy.
• Provide support for more senior and upper-level claim handlers on the Team, including but not limited to special claim and account level projects and data organization.