Senior Claims Analyst

Job Description

Job Description

Summary

Reporting the Unit Manager, this role will be responsible for direct handling of multi-line commercial Primary and Excess 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

• In 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.
• 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 procedures.
• 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.
• Assists in Due Diligence inquiries as assigned.

Experience

Minimum of 5 years of claims handling experience or a related field.

Required Education

Four-year college degree required or equivalent work experience.

Preferred Education or Certification

JD, CPCU, SCLA, CCLA

Supervisory Role

Schedule, assign, and review the work of others in compliance with specific instructions.

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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