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Sr. Claims Counsel, Insurance (Property & Casualty)
Career Insights for Claims Adjuster / Specialist (General)
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Based on Pennsylvania data
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What they do
A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
$76,225 / year median in Pennsylvania
+2% projected growth
Job Description
Sr. Claims Counsel, Insurance (Property & Casualty) at SolomonEdwards Sr. Claims Counsel, Insurance (Property & Casualty) at SolomonEdwards in Devon, Pennsylvania Posted in 2 days ago.
Type:
full-time
Summary:
Our client, a top regional Property & Casualty Insurance Broker, is seeking an in-house Sr. Claims Counsel. Your responsibilities include, but are not limited to, reporting and managing clients' claims, advocating for clients with insurance carriers by identifying and resolving claims issues, as well as providing accurate and timely claims assessments to clients and commercial account teams. Other responsibilities may include negotiating coverage positions, participating in on-site client claims meetings, and monitoring third-party administrators' claims handling. MUST have a JD and prior Insurance experience (either from carrier, broker, or at a law firm). If interested, please send resume to sschneider@solomonedwards.com - All resumes will be held confidentially and nothing will be shared with anyone without your consent and approval.
Responsibilities:
Monitor, track, and proactively manage client claims throughout the claims lifecycle. Review claims reports for accuracy, completeness, and emerging trends or exposures. Consult with clients and provide clear, timely updates regarding the status and progress of claims. Identify claims issues, coverage concerns, and potential areas of adverse exposure. Advocate directly with insurance carrier claims professionals to resolve issues and ensure claims remain on the appropriate trajectory. Negotiate coverage positions and claims resolutions when appropriate. Provide sophisticated claims analysis and recommendations to clients and commercial account teams. Participate in on-site client claims meetings and other strategic claims reviews. Assist clients in effectively managing relationships with third-party administrators, with a primary focus on workers' compensation. Monitor TPA claims handling practices and performance. Participate in periodic claims review meetings and TPA partnership meetings. Identify claims handling trends, deficiencies, and opportunities for improved outcomes. Collaborate with clients, TPAs, carriers, and internal teams to improve claims management strategies and results. Serve as a claims and legal resource to commercial account teams. Support new business acquisition efforts by participating in prospect and new business meetings. Demonstrate the value of sophisticated claims advocacy as a differentiator for Altus Corporate Risk. Develop and cultivate your own business development opportunities and strategic client relationships. Partner with producers and account executives to identify opportunities for expanded client services.
Required Qualifications:
Bachelor's degree and Juris Doctorate (J.D.) required. Minimum of five years of experience in civil litigation, workers' compensation, insurance law, claims, or a related legal practice. Demonstrated experience with claims and litigation management . Strong knowledge of insurance claims, litigation, and workers' compensation . Exceptional analytical, negotiation, communication, and problem-solving skills. Ability to effectively interact with clients, insurance carriers, TPAs, attorneys, and senior-level stakeholders.