Senior Claims Technical Director – Excess Claims at American Family Insurance Group

Los Angeles, California, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

InsuranceIndustries

Requirements

Bachelor’s Degree in Business Administration, Risk Management and Insurance, Finance, or a related field or equivalent experience. JD preferable but not necessary. Field of Study: Liberal Arts, Business or a related discipline
Generally, 12 or more years of related experience

Responsibilities

Manages a book of excess claims for a significant size, complex product(s) or for the line of business
Investigates and maintains claims: Reviews and evaluates coverage and/or liability
Secures necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims
Works toward the resolution of claims files, and attends arbitrations, mediations, depositions, or trials as necessary
May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority
Conveys the most complex information (coverage, decisions, outcomes, negotiations, etc.) to all appropriate parties maintaining a professional demeanor in all situations
Ensures that claims payments are issued in a timely and accurate manner
Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies to comply with all company procedures and requirements
Serves as the technical expert on a product(s) and/or line of business
Evaluates and makes recommendations to executive management on internal and external issues of strategic importance to a product(s) and/or line of business
Plans for and ensures that budget and performance targets are met
Provides technical advice to lower level positions and other functional areas
Interacts with underwriting and marketing regarding claims trend issues
May provide input to establishing policies and procedures
May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports
Performs other duties as assigned