Description:
Pennsylvania Lumbermens Mutual Insurance Company
Position: Senior Litigations Claims Examiner Department: Claims
Reports To: Litigations Claims Manager
Position Summary: The successful candidate for this position facilitates, coordinates and expedites the handling of all high-severity casualty claims and controls PLM’s largest exposure cases in a prompt, fair and equitable manner.
Essential Functions and Responsibilities:
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Establishes accurate reserves in timely fashion.
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Determines verification and scope of coverage.
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Assists other unit members with settlement evaluations.
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Handles all complicated litigation and ensures trial preparation with attorneys.
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Attends mediation and settlement conferences.
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Analyzes insurance contracts.
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Communicates with the public.
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Maintains an appropriate diary date on files under direct supervision.
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Ensures that a file is proceeding towards a prompt, fair and equitable claim settlement.
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Directs responsibility for supervision of all subrogation and arbitration handling.
Requirements:
Knowledge and Skills:
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10 years experience in casualty claims.
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Knowledge of MS Office.
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Prior supervisory experience helpful.
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Basic knowledge of various applicable state law systems.
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Strong understanding of the litigation process.
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Above average reading comprehension and math skills.
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Ability to deal with a variety of personalities.
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Ability to handle difficult situations, including upset policyholders in a courteous and professional manner.
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Experience controlling expenses.
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Proficient negotiation skills.
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Strong oral and written communication skills.
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Strong analytic skills and ability to pay close attention to detail.
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Strong customer service skills.
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Ongoing training through the Insurance Institute of America.
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College degree preferred.
Physical Requirements:
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Ability to hear
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Ability to speak clearly
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Ability to write
