• Company:
  Fireman's Fund Insurance Company

• Location:
  St Peters, MO 63376

• Job Status/Type:
  Full Time, Employee

• Job Category:
  Customer Support/Client Care

• Occupation:
  Account Management (Non-Commissioned);Technical Customer Service

• Career Level:
  Experienced (Non-Manager)

• Company:
  Fireman's Fund Insurance Company

• Reference Code:
  50286942

Claims Adjuster III - General Liability

At Fireman's Fund, you're building a challenging career at the same time
as bringing a sense of stability to people's lives. You're also
contributing to our success and our reputation as a leader in the field
with your skills and expertise. For this you are appreciated,
acknowledged, and rewarded. We believe that if you hold on to great
people, everyone wins. Just more proof that a career with Fireman's
Fund, isn't just a good idea. It's a smart move.

Job Posting Title
Claims Adjuster III - General Liability

Job Purpose/Role
This is the specialist or top technical expert within a unit. Handles major, multi-party cases under general direction within established policies, procedures and precedents. As a file handler, independently reviews and settles claims including complex coverage issues, injury, catastrophic damages, fraud, arson and litigation. Positions at this level work on highly complex cases requiring specialized knowledge in breadth and/or depth in area of expertise. Viewed as an expert in a given field and assignments are generally regional or on a nationwide basis.

Key Responsibilities
-Investigating, evaluating, negotiating and settling complex claims
-Resolving difficult and unique coverage issues
-Managing litigated claims, including the professional insured, defense counsel, and coverage counsel (if assigned), vendors and experts
-Understanding and applying correct reserves to all claims. Assist Underwriting in risk evaluation, exposure analysis and marketing
-As a specialist, provide technical direction and serve as a resource on high exposure files and complex coverage issues; monitor legal and legislative activity and advise underwriters on potential risk factors, underwriting decisions and policy documentation
-As a litigation specialist, identifying legal issues, direct and manage attorneys in developing alternative settlement strategies or arriving at decisions to go to trial; manage litigated cases though the court system. Negotiate and propose settlements; develop strategies to contain costs
-Conducting a comprehensive investigation to search for or reconstruct obsolete policies, define coverage, identify parties and develop the facts of the case
-Utilizing Company resources effectively and direct investigations through field office as necessary
-Obtaining and documenting information on the circumstances of the case, and obtain supporting evidence of losses and coverages
-Identifying trends in types of cases and legal decisions pertaining to line of business and notify appropriate personnel within Claims, Business Segments, Loss Control, Actuarial and other Departments
-Recognizing recovery and fraud indicators. Coordination with Craig/is
-Contacting and maintain communication with appropriate parties
-Effectively document file/use progress note function
-Interacting with business partners/technical resources (internal and external)
-Understanding and adhering to procedures and workflows
-Establishing and executing disposition plan
-Controlling inventory

Key Requirements/Skills/Experience
-Comprehensive knowledge of claims handling procedures, philosophy, legal concepts, terminology, financial concepts for reserving, & determining losses, negotiation & settlement techniques
-Ability to develop strategy of litigation defense for highly complex cases and proactive monitoring of outside counsel in the execution of agreed upon litigation strategies
-Skill and knowledge of issues to anticipate and resolve problems that may impede progress
-Understanding of insurance concepts and business theories related to underwriting, actuarial, reinsurance, finance, loss control and marketing. Skill to obtain information and resolve problems through these functions
-Superior negotiation skills including the identification of creative non-monetary settlement alternatives where possible and appropriate
-Strong communication skills resulting in clear and concise presentation of ideas and positions in both verbal and written form, to include the drafting of coverage position letters and various internal claims reports to business partners. This includes the ability to explain and discuss technical and legal complexities of files with various non-technical audiences
-Strong analytical skills to analyze complex files, identify key elements and issues and explore alternative courses of action before making decisions, including the analysis of insurance contracts/coverage issues
-True sense of teamwork needed in order to build relationships throughout the organization and support our underwriting business partners
-Flexible interpersonal skills in order to deal with a variety of business relationships, both external and internal, as well as a continually evolving corporate environment
-Strong organizational skills. Ability to handle multiple tasks simultaneously. Able to work in a highly productive environment.
-Utilize computer systems
-Strong customer service/telephone skills
-Ability to work independently
-Strong typing skills

Scope
Typical Settlement Authority = $50,000 - $150,000.

Additional Information




More information about Fireman's Fund, our privacy policy, and our
relationship with Allianz Group can be found at
http://www.firemansfund.jobs .

An equal opportunity employer.