Liability Claims Specialist

Under the direction of the Claims Team Leader, the Liability Claims Specialist determines coverage, investigates facts of both auto and general liability third party claims, assesses and apportions liability and settles claims at the best outcome within established claim best practices guidelines and client instructions.

RESPONSIBILITIES:

Duties include but are not limited to:

• Under supervision, receives assignments and reviews claim and policy information to determine coverage, conducts a thorough investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.
• Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants and witnesses to secure necessary claim information.
• Proactively and aggressively manages defense counsel and litigation working collaboratively with defense counsel.
• Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extent of the insurance carrier’s obligation to the insured under the policy contract.
• Prepares detailed claim summary reports and provide updates to the client on investigation, potential settlement opportunities, claim denials, reservation of rights, third party tenders, subrogation and recommendations.
• Posts loss and expense reserves within authority limits and recommends reserve changes above authority to Team Leader.
• Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
• Prepares and submits to Team Leader unusual or possible undesirable exposures such as bad faith or unfair claim practice allegations.
• Assists Team Leader in developing methods and improvements for handling claims.
• Settles claims promptly and equitably.
• Obtains appropriate releases, proofs of loss or compensation agreements and issues company drafts in payments for claims.
• Informs claimants, insureds/customers or plaintiff attorney of denial of claim when applicable.