Senior Claims Examiner

Description

Pennsylvania Lumbermens Mutual Insurance Company

Position: Senior Litigations Claims Examiner Department: Claims

Reports To: Litigations Claims Manager

Position Summary: The successful candidate for this position facilitates, coordinates and expedites the handling of all high-severity casualty claims and controls PLM’s largest exposure cases in a prompt, fair and equitable manner.

Essential Functions and Responsibilities:

• •Establishes accurate reserves in timely fashion.
• •Determines verification and scope of coverage.
• •Assists other unit members with settlement evaluations.
• •Handles all complicated litigation and ensures trial preparation with attorneys.
• •Attends mediation and settlement conferences.
• •Analyzes insurance contracts.
• •Communicates with the public.
• •Maintains an appropriate diary date on files under direct supervision.
• •Ensures that a file is proceeding towards a prompt, fair and equitable claim settlement.
• •Directs responsibility for supervision of all subrogation and arbitration handling.

Requirements

Knowledge and Skills:

• •10 years experience in casualty claims.
• •Knowledge of MS Office.
• •Prior supervisory experience helpful.
• •Basic knowledge of various applicable state law systems.
• •Strong understanding of the litigation process.
• •Above average reading comprehension and math skills.
• •Ability to deal with a variety of personalities.
• •Ability to handle difficult situations, including upset policyholders in a courteous and professional manner.
• •Experience controlling expenses.
• •Proficient negotiation skills.
• •Strong oral and written communication skills.
• •Strong analytic skills and ability to pay close attention to detail.
• •Strong customer service skills.
• •Ongoing training through the Insurance Institute of America.
• •College degree preferred.

Physical Requirements:

• •Ability to hear
• •Ability to speak clearly
• •Ability to write