PURE

Property and Casualty Insurance

ExecutiveClaimAnalyst(Casualty)

$750–750k Scottsdale, Arizona, United States FULL TIME
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Senior candidates.

The Brief

“Executive Claim Analyst (Casualty) at PURE. Skills: Claims handling, Coverage analysis, Claim strategy, Negotiation. Handle severe and complex claims. Deliver flawless service to members”

What You'll Achieve.

Deliver flawless service to members; Meet high standards of accuracy; Meet high standards of efficiency; Meet high standards of quality customer service; Meet regulatory compliance; Accurately evaluate claims; Accurately reserve claims; Accurately negotiate claims; Accurately resolve complex claims; Reach appropriate coverage decisions; Reach timely coverage decisions; Uncover needed information; Preserve evidence; Preserve testimony; Achieve liability defenses; Achieve damages defenses; Continuously evaluate file for adequacy; Continuously evaluate file for accuracy; Continuously evaluate file for adherence to reserving guidelines; Keep agents and members up to date; Own data integrity in claim and policy administration system

Industry & Context.

Property and Casualty Insurance
Problems you'll solve

Solutions-oriented mindset

Eligibility Requirements

Travel required up to 25%, Comfort level regarding in-person attendance at legal proceedings as required

What They're Looking For.

Must Have

10+ years of direct Property and Casualty insurance claims experience, 5+ years’ experience in handling both auto and general liability litigated files, complex first and third party bodily injury, and complex coverage claims, Proven ability to handle complex exposures in excess of $750, 000 in value, Experience handling litigated files, arbitration, and mediation, Bachelor’s degree required, Working knowledge of excel, word, and email applications

Nice to Have

Experience within the high net worth industry, Completion of one or more advanced educational or industry designations such as JD, MBA, CPCU, AIC, or CCLA

What You'll Do.

Handle severe and complex claims

Deliver flawless service to members

Handle first and third party claims

Meet standards of accuracy

Meet standards of efficiency

Meet standards of quality customer service

Meet regulatory compliance

Display ownership in handling claims

Demonstrate technical competency

Analyze policy language

Communicate coverage decisions

Execute investigation strategy

Identify liability defenses

Identify damages defenses

Establish initial loss reserves

Establish expense reserves

Evaluate file for adequacy

Draft Large Loss Notice evaluations

Present detailed reporting documents

Keep agents and members updated

Respond timely to inquiries

Obtain budgets from vendors

Steward costs from vendors

Present facts of loss

Present opinions on value

Present opinions on strategy

Facilitate internal training

Support business partners

Serve as technical resource

How You'll Work.

Team & Collaboration

Present and discuss facts of loss in roundtable discussions; Contribute as Subject Matter Expert; Support internal and external business partners; Deal with cross functional teams; Serve as technical resource within Casualty Department; Knowledge-sharing

Communication Scope

Excellent interpersonal skills; Excellent listening skills; Excellent written communication skills; Excellent oral communication skills; Communicate coverage decisions; Keep agents and members updated; Respond timely to inquiries

Full Job Description

**About the role.** The Executive Claim Analyst is a key member of the Casualty Claims Department reporting to the Casualty Large Loss Manager. The primary goal of this position is to handle our most severe and complex claims, while delivering flawless service to our members. This person will handle first and third party claims in a quality manner and meet our high standards of accuracy, efficiency, quality customer service, and regulatory compliance. **What You’ll Do.** _Claims handling:_ Display ownership in handling a pending of the company’s most catastrophic bodily injury claims and demonstrate a continual high level of technical competency in: * Coverage analysis and determinations; * Catastrophic claim investigation; * Claim strategy formulation and execution; and * The ability to accurately and effectively evaluate, reserve, negotiate, and resolve complex claims within prescribed authority levels. * Analyze policy language in conjunction with specific loss facts to reach appropriate and timely coverage decisions, then communicate those decisions via Reservation of Rights, disclaimers, etc. in compliance with state statutes and regulatory requirements. * Determine and execute an investigation and evidence preservation strategy to uncover needed information and preserve evidence, witnesses, testimony, etc. essential to our Members’ defenses. * Identify liability and damages’ defenses available to the Member and execute a strategy to achieve them. * Establish appropriate initial loss and expense reserves on complex and severe cases and continually evaluate the file for adequacy, accuracy, and adherence to reserving guidelines. Regularly and timely draft and present Large Loss Notice evaluations (and other detailed reporting documents), as appropriate. * Keep agents and Members up to date on all claim developments and respond timely to inquiries from Members, agents, vendors, defense and plaintiff attorneys, etc. * Own data integrity in claim and policy administ

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