Senior Specialist, Large Complex & Specialty Claims

The Opportunity 

The Sr Specialist, Casualty Large Complex & Specialty Claims is responsible for managing GL and ABI claims from start to finish, including complex specialty losses and those with multinational exposure. This role works closely with underwriting, reinsurance, actuary, and senior leadership to ensure effective claim strategies and outcomes. It also supports the evolution of claims capabilities to enable growth in new markets and specialty lines, while contributing to team development through ongoing mentoring and technical guidance.

What to Expect

• Manage a pending of complex Commercial General liability claims from start to finish, including claims with complex coverage concerns.
• Engage all stakeholders in the effective management of a claim including underwriting, reinsurance, actuary, and senior leadership
• Support the transformation of claims capabilities to enable policy growth in new markets and specialty lines of business
• Contribute to ongoing mentoring and technical growth within Claims
• Provide quality customer service and ensure file quality timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case.
• Directly investigate each GL and ABI claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential.
  Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. Complete outside investigation as needed per case specifics.
• Actively engage in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims.
• Verify the nature and extent of injury or damage by obtaining and reviewing appropriate records and damages documentation.
• Maintain GL and ABI claim files and document claim file activities in accordance with established procedures Utilize evaluation documentation tools in accordance with department guidelines.
• Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure.
• Establish and maintain proper indemnity & expense reserves.
• Recommend appropriate cases for discussion at roundtable.
• Attend and/or present at roundtables/ authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense.
• Actively and enthusiastically share experience and knowledge of creative resolution techniques to improve the claim results of others.
• Develop and employ creative resolution strategies.
• Responsible for prompt and proper disposition of all claims within delegated authority.
• Negotiate disposition of GL and ABI claims with insureds and claimants or their legal representatives.
• Recognize and implement alternate means of resolution.
• Manages litigated claims. Develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers.
• Apply litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy.
• Track and control legal expenses to assure cost-effective resolution.
• Attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
• Update appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
• Recognize cases, based on severity/complexity protocols, that should be transferred to another level of claim professional and refer on a timely basis.
• Appropriately deal with information that is considered personal and confidential.
• Fulfill specific service commitments made to certain accounts.
• Evaluate all claims for recovery potential; directly handle recovery efforts and/or engage and direct Company resources for recovery efforts.

 What You Bring 

• University degree in any discipline or a 2-year college diploma from a provincially recognized and funded community college or fully completed CIP designation
• A minimum of 8 - 10 years general claims handling experience
• The ideal candidate would have experience with most of these types of claims; GL/ABI greater than $150,000, Environmental, Abuse, Construction, Coverage B, Class Actions, Marine, National Accounts with large SIR/Deductibles and Additional Insured determination
• Experience coaching and mentoring junior staff
• Strong interpersonal and communication skills

Salary Range: $73,500 - $123,500