BI Claims Large Loss Adjuster
Direct Auto

Raleigh, North Carolina

Posted in Insurance

This job has expired.

Job Info

Job Summary:

The Lead Consultant is responsible for management and oversight of Home Office Claim Department referrals. The individual grants settlement authority on the most complex claims valued in excess of Market Claim Office (MCO) and Regional Claim Office (RCO) limits, approving requests to go to trial on cases where the gross exposure is in excess of MCO authority, and general oversight of all large losses for a specific CSA or CSAs.

Key Responsibilities:

  • Reviews coverage, liability, and/or damages on the most complex cases referred for authorization and collaborates with Field leadership on additional steps to be taken and other feedback and direction
  • Reviews and provides approval on cases which the MCO plans to take to trial
  • Supports the Field with discretionary referrals on the most complex coverage issues and engages Home Office Claim litigation for involvement and direction, as needed
  • Reviews cases to determine if CWP is appropriate given gross tort value exposure
  • Performs file reviews for various highly complex projects or for cases in litigation, analyzes data, and reports findings
  • May serve as specialist and subject matter expert on projects as needed
  • Works with Product, Protection, Law, and Claims on new products introduced to the Field and the sales force, and develops Claim Bulletins to provide new forms and/or endorsements that impact claim handling practices
  • Collaborates with Frontline Performance Experts (FPEs), Frontline Performance Leaders (FPLs), and Claim Process Specialists (CPSs) to share experience and trends identified in referred cases

Supervisory Responsibilities:

This job does not have supervisory duties

Preferred Qualifications:

Education and Experience
  • Bachelor's Degree or equivalent
  • 5 or more years of related experience (Bodily Injury adjusters experience).
Certificates, Licenses, Registrations
  • None
Functional Skills
  • Applies highly advanced knowledge of insurance policy, coverage, and regulation
  • Applies highly advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
  • Applies highly advanced knowledge of analytical procedures to reconcile, manipulate, & recognize patterns of data
  • Applies highly advanced knowledge of problem-solving and preparation of complex reports for analysis
  • Applies highly advanced negotiation and/or arbitration skills
  • Applies highly advanced conflict management and problem resolution skills in managing internal and external customer relationships
National General Holdings Corp. is an Equal Opportunity (EO) employer - Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

This job has expired.

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