JOB DESCRIPTION : Job Description Essential Duties & Responsibilities Performs a range of responsibilities in alignment with departmental guidelines: Manages a portfolio of highly complex specialty claims with significant exposures, requiring advanced technical expertise and coordination. Delivers exceptional customer service by managing all aspects of the claim, maintaining professional interactions, meeting quality and cycle time standards, and providing timely updates. Verifies coverage and sets timely, adequate reserves by interpreting policy language, consulting coverage counsel on complex matters, and estimating claim value in accordance with company protocols. Leads targeted investigations to determine compensability, liability, and covered damages by gathering documentation, conducting interviews, and consulting experts as needed. Resolves claims through collaboration with internal and external partners, managing reserves, negotiating settlements, overseeing litigation, and authorizing payments within authority limits. Manages claim budgets by driving timely resolution, selecting appropriate resources, authorizing expenses, and ensuring efficient, high-quality service. Identifies and addresses subrogation, salvage, or potential fraud by evaluating claim facts and referring to appropriate internal resources. Meets quality standards by managing claims in accordance with protocols, ensuring accuracy, timely documentation, and prompt resolution. Keeps senior leadership informed of significant risks and losses by preparing loss summaries, maintaining oversight/watch lists, and presenting concise updates. Maintains subject matter expertise and ensures regulatory compliance by adhering to company guidelines and staying current on relevant laws and trends. Mentors and trains less experienced claim professionals, fostering development and knowledge sharing. May perform additional duties as assigned.

Skills, Knowledge & Abilities In-depth knowledge of specialty, commercial, and excess insurance products, policy language, coverage, and claims practices. Strong verbal and written communication skills, with the ability to clearly convey business and technical information. Proven analytical and critical thinking skills, with the ability to investigate, evaluate, and resolve complex, ambiguous business issues. Strong work ethic with effective time management and organizational skills. Ability to thrive in a fast-paced environment while maintaining high productivity. Skilled in negotiating complex settlements. Experience interpreting complex commercial insurance policies and coverage terms. Ability to manage shifting priorities in a dynamic, fast-paced environment. Proficient in Microsoft Office Suite with the ability to quickly learn business-specific software. Values diverse perspectives and fosters inclusive collaboration. Education & Experience Bachelor's Degree or equivalent experience. Typically a minimum six years of relevant experience, preferably in claim handling. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Prior negotiation experience. Professional designations preferred (e.g. CPCU).