Commercial Auto Complex Claims Analyst

RiverStone ServicesRemote, United States Manchester, New Hampshire Rockville Centre, New York


Description

Summary  

Reporting to the Unit Manager, this role will be responsible for direct handling of commercial claims specific to Auto with some first party commercial property. Strong background in claims management. Role involves a fast-paced environment and requires significant investigation and information gathering skills. Duties include investigation and evaluation of coverage in relation and in conjunction to available coverage, liability, risk transfer (i.e. indemnification and/or tender application), and damages issues. The role will be responsible for claim and coverage evaluation, establishment/recommendation of adequate reserves, litigation management, liability and damage analysis in detail, case resolution and best claims outcome, and transaction processing in alignment with the Company’s and Client’s Strategic Vision. 

Essential Functions 

  • ​​​​Direct handle of commercial and business auto claims.   
  • ​Responsible for coverage evaluations, investigations, and analysis of liability, damages, policy limit and time limit demands, and exposure. 
  • ​Mentors and guides less experienced Claim Analysts.  
  • ​Manages external relationships including third party administrative oversight. 
  • Anticipates and identifies risks and opportunities on coverage and liability. 
  • ​Anticipates and identifies transfer of risk, tender and/or indemnification. 
  • Investigates and information gathers to actively manage the claims specific to information gathering from the primary.
  • Directly handles and/or assists in monitoring, reviewing, and coordinating the activities involving commercial insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims. 
  • ​Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving primary, umbrella, and/or excess policies. 
  • ​Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures. 
  • ​Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language. 
  • ​Assigns and manages of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negations. 
  • ​Ensures proper file setup, reserving, general handling, and application of company procedure. 
  • ​Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control. 
  • Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records. 
  • ​Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect exposure. 
  • ​Empowered to make decisions within job description and authority.  Seeks guidance where appropriate. 
  • ​Travels as required. 
  • ​Obtains and maintains claims adjuster licenses in those states requiring them.

Other 

  • ​​We empower people to make decisions, in a supportive environment, with accountability for the outcomes.  

Experience 

  • ​​Minimum of five (5) years of commercial auto/trucking claims handling experience or a related field.​ ​​ 

Required Education 

​​Four-year college degree required or equivalent work experience.​  

Preferred Education or Certification 

JD, CPCU, SCLA, CCLA, state(s) adjuster license 

Travel 

​​As required.  

Diversity, Equity, Inclusion & Belonging 

RiverStone Resources, LLC is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law. 

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