Job description
Job Summary:
Investigate, evaluate, and resolve board complaints, non-party subpoenas, and low severity claims made against the Company’s behavioral health program business including psychiatrists, psychologists, social workers and other mental health care providers’ liability. Engage in collaborative projects in support of other areas of the company, including underwriting, finance, accounting, actuarial, operations, and technology. Provide superior service to all customers, whether internal or external.
Job Duties:
- Manage a vigorous load of board complaints, non-party subpoena matters and claims involving a broad spectrum of insureds and coverages. Analyze coverage and manage litigation by effectively interacting with insureds, the managing general agent, defense counsel and other parties as required. Draft and issue reservation of rights and denial letters, retain and monitor defense counsel, evaluate exposure and establish reserves, monitor defense costs and negotiate settlements. Represent Company in the resolution of claims and participate in legal proceedings, including mediations. Participate in underwriting decision making, including renewal risk assessment and communication with program agent.
- Work with other areas of the company including underwriting, risk management, finance, accounting, actuarial, operations and technology on projects as requested. Contribute to risk management publications. Prepare claim summaries and other reports as necessary for management. Present severity claims to senior management in large loss meetings.
- Meet with existing or prospective clients and brokers.
- Comply with CMS reporting.
Job Requirements:
- Experience in the insurance or healthcare industries (experience handling liability insurance claims preferred) or related relevant experience.
- Four-year college degree is required.
- Excellent negotiation and communication skills.
- Technical writing experience.
- Proficient in Microsoft Office products.
- Ability to analyze coverage; instruct and collaborate with counsel regarding litigation strategy and claim resolution; resolve claims; and otherwise act within the scope of delegated authority.
Our Business
Allied World Assurance Company Holdings, Ltd, through its subsidiaries, is a global provider of insurance and reinsurance solutions. We operate under the brand Allied World and have supported clients, cedents and trading partners with thoughtful service and meaningful coverages since 2001. We are a subsidiary of Fairfax Financial Holdings, Limited and benefit from a strong capital base and a worldwide network of affiliated entities that allow us to think and respond in non-traditional ways.
Our generous benefits package includes: Health, Dental and Disability Insurance, a company match 401k plan, and Group Term Life Insurance. Allied World is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will be considered for employment without regard to an individual's race, color, national origin, religion or belief, sex, gender, gender identity, age, genetic information, marital or civil partnership status, family status, sexual orientation , military, veteran status, disability or any other characteristic protected by law.
To learn more, visit awac.com, or follow us on Facebook at facebook.com/alliedworld and LinkedIn at linkedin.com/company/allied-world.
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