Philadelphia, PA
1 day ago
AVP, Claim - Major & Specialty

This AVP is responsible for investigating/settling more complex and higher exposure/high frequency claims while providing an exceptional level of customer service and maintaining a high-quality claim file. This position reports directly to VP Claim Leader of Major Accounts and Specialty. 

Responsibilities may include, but are not limited to:

Confirm coverage of claims by reviewing policies and documents submitted in support of claims. Analyze coverage and communicate coverage positions under direction of Manager and coverage unit. Conduct, coordinate, and direct investigation of Commercial Property, Energy, builder’s risk, international and reinsurance claims. Direct and monitor assignments to experts and underlying defense counsel. Evaluate information on coverage and damage to determine the extent of the loss exposure. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Set reserves within authority and/or makes recommendations to supervisor concerning reserve changes. Effectively evaluate contract language and identify coverage issues. Maintain an active file diary to more file toward resolution. Recognize and pursue recovery. Adhere to all statutory and regulatory fair claims practices. Recognize and identify potential fraudulent claims. Effectively control the use, work product and expenses of outside vendors. Develop and maintain strong business relationships with internal and external business partners/clients. Serve as a technical resource to lesser experienced adjusters on the team. Successfully contribute to the development and delivery of the team’s goals, objectives and results. Bachelor's Degree preferred or equivalent experience.10+ years of commercial property claims adjusting experience. Current Adjuster licenses in one or more states preferred Should have high degree of specialized and technical competence in the handling of high exposure claims with emphasis on hands-on file management.Knowledge of commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations a plus.Ability to work independently and assimilate learning materials on many different subjects from various sources.Authoritative knowledge of the company’s coverage, products, services, and liabilities.Ability to make independent decisions using best practices for guidance.Jurisdictional claims handling experience.An aptitude for evaluating, analyzing, and interpreting information.Excellent verbal and written communication skills.Ability to work well in a team environment.Innovative thinker with ability to multi-task.Ability to deal with customers in a professional manner.Ability to self-motivate and self-start.Strong interpersonal, negotiation and customer service skills.Must be able to effectively work in a team environment.
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