Claims Examiner; Asbestos, Pollution, Other Health Hazards

Job Description

Job Description

Summary

Reporting to the Manager of: (1) Standard or Major Asbestos Unit; (2) or Pollution and Other Latent Liabilities Claims Unit, this role handles a moderate to high volume of APO claims of standard complexity involving primary and/or excess coverage, including resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, litigation management, case resolution, and transaction processing.

Essential Functions

• Individual transaction and work matter authority levels for this position range from $0 to $100,000, which is subject to the discretion of management.
• Ensures proper file setup, reserving, general handling, and application of company procedure.
• Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and excess policies.
• Assists in the assignment to and control of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers, including design and execution of defense and indemnity contracts, evaluation of liability and damages, and participation in settlement negotiations.
• Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control.
• Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company’s exposure and reports to our Reinsurance Department to assist in providing notice to reinsurers and the Reinsurance Department’s recovery of specific amounts when payment exceeds the company’s retention.
• Handles moderate to high volume of diverse and dynamic asbestos, pollution, or other latent liability claims effectively.
• Anticipates and identifies risks and opportunities on coverage and liability.
• Assists Unit Managers with departmental problem solving.
• Serves on Companywide committees and projects as assigned.
• Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
• Develops creative ideas and solutions to real-time business problems and/or business opportunities; takes reasonable, calculated risks even if failure is possible.
• Empowers self and teammates to continuously improve RiverStone’s business processes/systems; develops and escalates solutions.
• Consistently delivers superior customer service to both internal and external business partners.
• Performs special projects and assignments related to area of authority as necessary.
• Maintains confidentiality.
• Establishes and maintains professional relationships.
• Assists in due diligence inquiries as assigned.
• Travels as required.
• Obtains and maintains claims adjuster licenses in those states requiring them.

Required Skills

• Demonstrates ability and flexibility in a dynamic environment.
• Excellent analytical, interpersonal and communications skills, both written and oral.
• Capable of working independently and meeting assigned deadlines.
• Customer service oriented and able to develop lasting relationships with internal and external business partners.

Organizational

• Demonstrates alignment with RiverStone’s Commitments.
• Prioritizes and organizes work in self-directed manner.
• Attains and maintains knowledge of assigned department.
• Performs other duties as required, including supporting and coordinating with other department colleagues.

Experience

• Minimum 3-5 years of experience in claims handling or a related field.

Required Education

Four-year college degree required or equivalent work experience.

Preferred Education or Certification

JD, CPCU, SCLA, CCLA