Complex Claims Analyst

Job Description

Job Description

Summary

Reporting to 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 Functions 

• Directly handles and/orassistsin monitoring, reviewing, and coordinating the activities involving multi-line commercial 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; establishesadequate reserves; and investigates and handles claims involving primary,umbrellaand excess policies.
• Ensures proper file setup, reserving, generalhandlingand application of companyprocedure.
• 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 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.
• Participates in developing claims handlingstrategy, including defense coordination, litigation strategy and budgets, and expense control.
• Records specificclaimsinformation and reports asappropriate toa managerrelativeto 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 toassistin providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention.
• Handles largevolumeof diverse and dynamic claims effectively.
• Empowered to make decisions within job description and authority. Seeks guidance whereappropriate.
• Develops creative ideas and solutions to real time business problems and /or business opportunities; Takes reasonable, calculated risks even if failure is possible.
• Seeks continuous development byidentifyingareas for growth improvement and works with team to implement process and technical improvements

Experience 

Minimum of 2+ years’ experience in claims or related field. 

Required Education 

Four-year college degree or equivalent work experience. 

Preferred Education or Certification 

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Supervisory Role 

None 

Travel 

As required, based upon business needs. 

Work Environment / Physical Demands 

This 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. 

Diversity, Equity, Inclusion & Belonging 

RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law. 

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