Claims Technical Consultant

Company Details:

Berkley North Pacific

Berkley North Pacific is rooted in the Pacific Northwest, offering personalized commercial insurance solutions through collaborative efforts for an optimal customer experience. The organization empowers its people and is 100 percent customer obsessed. Customers are supported by the financial strength of W. R. Berkley Corporation, a Fortune 500 company.

For more information, visit https://www.berkleynpac.com/.

 

The Company is an equal employment opportunity employer.

Responsibilities:

The Claims Technical Consultant is responsible for resolving highly complex commercial casualty claims at the highest authority levels, delivering effective and efficient claims resolutions, and providing technical leadership within the claims organization. 

  

• Examine and analyze policies, contracts, and claim forms to determine commercial auto, general liability and umbrella coverage on complex and multi-party casualty claims, including bodily injury, property damage and construction defect claims.   

• Determine liability by gathering and analyzing relevant facts and applying applicable law and negligence principles 

• Investigate losses via telephone, correspondence, or on-site inspection 

• Request and review reports such as police reports, fire reports, medical records, and property inspections 

• Review and hire liability and medical experts for litigated and pre-suit claims 

• Utilize independent adjusting services when appropriate 

• Establish and continually reevaluate accurate claim reserves throughout the lifecycle of the claim 

• Manage litigation by assigning counsel, establishing litigation plans and budgets, coordinating defense activities, reviewing settlement potential, and authorizing payments 

• Enter claim data accurately into claim systems for reporting purposes 

• Collaborate on subrogation, arbitration, and salvage recovery 

• Conduct Medicare lien analysis and negotiate liens when applicable 

• Recommend and coordinate with outside legal counsel regarding defense strategy, including settlement or trial decisions 

• Provide technical advice, direction, training, and mentoring to claims staff 

• Attend settlement conferences, depositions, mediations, pre-trial hearings, and trials as needed 

• Contribute to profitable growth by providing risk insights and trends to business units and customers 

• Maintain professional and technical knowledge through education, networking, and industry engagement 

• Stay current on legal and coverage trends across jurisdictions 

• Act as a technical expert for internal teams and business partners 

• Provide insights to improve product offerings, risk assessments, and policy language 

• Present complex claims to senior leadership for authority and strategic direction 

Qualifications:

Qualifications: 

  

• Effective verbal and written communication skills 

• Ability to accurately keyboard and utilize multiple computer systems 

• Ability to perform multiple duties in a fast-paced environment 

• High level of professionalism with internal and external customers 

• Strong organizational and prioritization skills 

• Ability to analyze contracts and legal documents and take positions on claim issues 

• Advanced insurance coverage evaluation skills 

• Proven litigation management skills 

• Effective presentation skills 

• Advanced negotiation experience 

• Strong analytical, critical thinking, and problem-solving skills 

• Experience with collaborating in a team environment and building cross-functional relationships 

• Proactively shares and promotes insights 

• Ability to gather perspectives from multiple teams to optimize outcomes 

• Ability to analyze and apply insurance policy components for complex claims 

• Ability to follow reserving processes for indemnity and expense 

• Ability to determine scope and exposure of complex claims 

• Ability to leverage trends and relationships to provide high-quality customer service 

• Strong understanding of financial and actuarial trends and concepts 

• Ability to communicate coverage determinations effectively to customers, clients, and brokers

 

Education Requirement 

• Bachelor’s Degree and 15 or more years of casualty claims adjusting experience, including 10 years of complex casualty claims adjusting experience, or Juris Doctor and 5 or more years of experience in Claims and Litigation Management 

• Must obtain and retain required adjuster licenses 

• Microsoft Office experience required 

• Knowledge of insurance regulations, markets, and products 

• Advanced insurance education preferred such as AIC, CPCU, SCLA 

Additional Company Details: We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees including: Benefits include Health, dental, vision, life, disability, wellness, paid time off, 401(k) and profit-sharing plans The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Additional Requirements: Location and Travel: •Primary location Meridian, ID. Sponsorship Details: Sponsorship not Offered for this Role