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Senior Claims Adjuster II | GA, NC, SC, VA Employers Holdings IncSenior Claims Adjuster II | GA, NC, SC, VAVARemote$80,000–$120,000 / yearCompletes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. With minimal oversight, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and complex issues and exposures.
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Senior Claims Director, Casualty Claims, Hamilton Select Hamilton Insurance Group LtdSenior Claims Director, Casualty Claims, Hamilton SelectRichmond, VA8+ years of experience in casualty and/or specialty claims handling or related litigation with a career history of increasing responsibility Experience handling claims in the Excess and Surplus market preferred Experience working with complex coverage issues required Multi-jurisdictional claims and litigation experience required Adjuster license and or certifications desired, but not required Bachelor's degree or equivalent experience, JD desirable Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M Strong negotiating, analytical, written, and organizational skills Mediation and arbitration experience preferred Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems) Ability to prioritize and manage deadlines Ability to work both independently and collaboratively as part of a team Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal. Review claims and related systems and processes Understand and analyze policy language and contracts Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments Draft disclaimers and reservation of rights letters Negotiate settlements, mitigate losses, and control expenses Adhere to Claims Best Practices, Key Controls, and file handling requirements Maintain a high level of communication with leadership and underwriting partners Ensure appropriate reports are timely prepared and disseminated Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units Present to management, mentor new staff and identify procedural improvements Support other functional groups within the organization Ensure compliance with internal corporate guidelines, processes and procedures Other duties as required by management Some travel, as required for trials & mediations, etc.