Liability Specialist Jobs

Position Summary

Exercises independent discretion or judgment in handling complex, high dollar/high impact casualty claims. Oversees cases in litigation and assists outside counsel. Also assists or acts on behalf of the claims supervisor when required.

• This is a remote work from home position with the successful candidate living within the Pittsburgh or Murrysville territory
• The successful candidate must have or be willing to obtain/maintain required licensing.

Duties and Responsibilities

Establishes immediate contact with Policyholders and claimants regarding claims. Conducts investigations, interviews insureds, witnesses and physicians. Evaluates and makes recommendations regarding coverage of claims. Works with experts, appraisers, outside consultants and other claims professionals as required.

Handles claims involving extensive questions of liability, damages or coverages and those involving litigation. Types of claims handled include, but are not limited to: any claim normally handled by liability adjusters or senior liability adjusters; some claims which will require field investigation; higher value bodily-injury and uninsured motorist bodily-injury claims; fatalities; complex commercial claims; claims involving disfigurement; claims involving permanency; and complex coverage issues.

Sets and maintains adequate reserves within designated authority. Obtains and reviews reports, statements, records and related materials as necessary. Evaluates information to determine liability and total value of claim. Determines or declines payment and issues checks as required. Negotiates claims with plaintiff attorneys when necessary.

Documents claim files and submits final report to file for closure.

Identifies subrogation situations and initiates appropriate action.

Oversees cases in litigation ensuring proper handling by outside counsel and assisting in the development of case strategy and procedure.

Interacts with Agents and district sales managers on matters of mutual concern.

Assists claims supervisor or acts on his/her behalf, including representing the company at legal proceedings, as required.

Completes industry-related training programs and continues to attend training programs to remain informed on policy changes, interpretation or new legislation.

Assists in training of new claims adjusters.

Participates on Catastrophe Team when required.

This position description in no way states or implies that these are the only duties to be performed by the incumbent. Employees are required to follow any other job-related instruction and to perform any other duties as requested by their supervisor, or as become evident.

The first six duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished.

Competencies

Qualifications

High school diploma or GED required. Bachelor's degree preferred. Five years casualty claims adjusting experience or equivalent experience in the medical or legal field required. Broad knowledge and expertise in the areas of liability coverages, laws and injuries required. Successful completion of Associate in Claims (AIC) program preferred. Position requires incumbents to provide support for property claims during periods of heavy volume.

Physical Requirements