Atlanta, GA
14 days ago
Professional Liability Claims Examiner III

POSITION SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and schedules to determine coverage for loss and injury. Conduct an efficient claim examination and investigation leading to the final resolution of Professional Liability Claims including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

Review, process and conclude assigned claims including investigation and evaluation complex Professional Liability – Errors and Omissions, D&O, complex General Liability as well as Nursing Home Professional Liability Casualty Claims. Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion. Maintain an ongoing diary. Continually assess exposure and evaluate the same to ensure accurate reserves and settlement recommendations. Prepare Loss Reports providing thorough analysis of liability and damages. Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts, at the direction of the client and/or TRISTAR leadership. Document all correspondence, reports, discussions and decisions in the claim file record. Provide outstanding service to the client. Assist Supervisors and Claim Department Leadership with requested tasks or special projects. Other duties as assigned

EQUIPMENT OPERATED/USED: Computer, 10-key, printer, copier, fax/scanner machine and other office equipment.

SPECIAL EQUIPMENT OR CLOTHING:     Appropriate office attire

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