Allied American USA is currently seeking an experienced Commercial General Liability Litigation Claims Examiner to join our TPA Department.

Work-From-Home

Comprehensive Benefits Package

· Medical, Dental, Vision Insurance

· Paid Time Off Program

· 401k

And Much More!!!

As a Commercial General Liability Litigation Claims Examiner you will be an expert in handling and supervision of complex and litigated commercial liability claims. Responsible for the investigation of coverage, liability and damages, negotiating with claimants and attorneys, through the life of the claim, maintain a pending and closing ratio of 100%. Candidates should have strong negotiation skills and be proficient in complying with standards, managing expectations, supporting client specific protocols, and fulfilling management directives. 7 years or more, Commercial General Liability Litigation experience is required, and an active FL license is required. An active NY adjusters license is a plus.

Key Responsibilities

• Investigate and resolve advanced, large loss, complex claims promptly, under minimal supervision
• Responsible for the settlement of CGL litigated cases, involving disputes over coverage, liability, and damages issues
• Knowledge of litigation, mediations, trial prep and direction of defense counsel
• Ability to interpret routine and complex policy contracts and coverage
• Expert handling of full claim assignments in TPA environment for General Premises Liability programs, including GLPD, GLBI, D&O, contractual liability, including litigation
• Determine coverage, experience with drafting Reservation of Rights letters and coverage disclaimers and be able to articulate coverage
• Analyze claims activity and prepare reports for clients/carriers and management.
• Interview customers, claimants, and witnesses; determine liability and prepare evaluation of bodily injury/property damage claim based on injuries/damages
• Review claims assigned for indicators of SIU or Underwriting referrals throughout life of claim; escalate as soon as any indicators are identified
• Maintain complete, pertinent journal notes and action plans for each case throughout life of case
• Maintain up to date diary for all claims
• Maintain proper statutory and client driven litigation timelines and protocols
• Answer phone calls, voicemails and emails within 24 hours

Requirements

• Bachelor’s Degree, and 7+ years specialized experience including Liability and Litigation (does not include Auto, Health and WC lines).  10 years or more specialized experience, or industry designations (AIC, CPCU) may be considered in lieu of degree.
• Previous experience with TPA full claim assignments for property damage liability, commercial property/liability, bodily injury (BI), contractual claims, litigation, mediations, and casualty claims, required
• Experience handling D&O claims, preferred
• Extensive knowledge of commercial premise liability policy coverages
• Strong analytical and problem-solving ability to conduct, coordinate and direct investigations into loss facts and extent of third-party damages
• Experience reviewing and quality checking field investigators’ preliminary and final reports
• Coverage/contract knowledge with adherence to insurance regulations; Strong analytical and problem-solving ability
• Possess an active home state and FL insurance adjuster license, required; NY license preferred
• Possesses excellent written and oral communication skills, time management and organizational skills, and customer service skills
• High level of competency with computer technology: email, Word, Excel, etc.

Benefits

• Full Benefits- Health, Dental, Vision, Life, ADD & LTD
• 401K with structured matching
• Paid holidays
• Vacation and Sick Leave
• Longevity Bonus
• Remote – Work from Home
• Company Equipment, provided

Pay

• Typical salary range: $75K-95K per year, based on relevant experience
• The salary range is for this level and may vary based on actual level of role in which hired
• This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus payment.

Allied American USA

Allied American USA, was established in 2002 to offer a wide range of business, IT, and insurance claims services. We provide a full range of claims services for daily and catastrophic general liability claims throughout the U.S., for both personal and commercial policies, including property damage, bodily injury, and product liability losses. Allied American USA takes pride in its emphasis on its commercial property claims division and our ability to handle large and complex commercial claims for numerous clients throughout the U.S. This combination of experience and professional strengths has defined Allied American USA’s stellar industry reputation for service and efficiency for over two decades.

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