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Senior Claim Representative I in Dallas, TX at AF Group

Date Posted: 12/3/2018

Job Snapshot

Job Description

3CU (Third Coast Underwriters)
Experience with the following territories - Texas, Louisianna, Oklahoma, Gulf States



SUMMARY:

This position serves as a technical expert in the claim handler career path. Under limited supervision, handles claims with litigation, complex/catastrophic and/or coverage elements. Handles the most unique cases, where little precedence has been established. May handle the most complex, high touch or labor intensive customers. Serves as a department leader by developing other employees and may function as acting manager in the absence of department management.



RESPONSIBILITIES/TASKS:

  • Independently administers complex claims and catastrophic exposures within authority, including claims from dedicated large accounts.
  • Establishes timely and appropriate reserves based on claim profile and anticipated financial exposure.
  • Represents the Company by working closely with customers, agents and brokers to resolve the most complex claim issues.
  • Negotiates settlements with attorneys or injured and exercises independent judgment to settle cases prior to mediation or litigation.
  • Manages outside vendors to ensure cost containment efforts.
  • Establishes and maintains effective working relationships with all internal and external customers.
  • Stays abreast of changes in workers' compensation statutes, case law and rehabilitation efforts/advancements in order to accurately interpret and apply relevant laws.
  • Actively participates in agent/client relationship management.
  • Mentors team members.
  • May serve as department leader in the absence of management or act as manager designee.

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