AVP, Liability Director, Claims Programs

Company: National African-American Insurance Association (N
Location: Hartford
Posted on: May 1, 2025

Job Description:

Job DescriptionJob SummaryThe Liability Director position's preferred locations are Hartford, NYC, or Jersey City. The role involves working with Third Party Claim Administrator Managed Business Units, primarily Programs and some Alternative Markets. The position supports the Claim Organization in achieving world-class technical claim outcomes.Responsibilities

• Provide technical expertise and oversight to Claims Account Managers in analyzing and handling coverage issues.
• Provide technical expertise and oversight to Claims Account Managers in managing complex claims.
• Manage the Trial Committee process, including case review, development of resolution strategies, and reporting to the Home Office.
• Attend mediations and trials of complex cases as needed.
• Review and edit responses to Time Limit, Stowers, and Policy Limit Demands.
• Conduct reserve reviews for general liability and automobile liability accounts.
• Review analytics and reports, such as BI Predictive Modeling System and Large Loss Snapshot, to identify cases for further discussion.
• Perform reserve reviews and conduct training sessions for Claims Account Managers and TPA Claim Handlers on current topics.
• Facilitate internal and external partnership calls to address issues of concern.
• Partner with liability directors and line managers to ensure process and quality consistency across business units.
• Identify loss cost reduction opportunities and support strategies for improved financial outcomes.
• Address regulatory issues, including Medicare, state insurance department audits, and workers' compensation requirements.
• Participate in various claims-related projects as needed.Required Skills/Experience

• Minimum 15 years of experience in the insurance industry.
• Multiline experience as a frontline claims adjuster or supervisor, and in a service or account management role.Qualifications
  • Detailed technical knowledge of automobile and general liability claims handling, with the ability to advise on complex injury and property damage cases.
  • Knowledge of construction-related claims is helpful but not required.
  • Ability to analyze complex coverage issues, draft disclaimers, and Reservation of Rights letters.
  • Excellent organizational, interpersonal, problem-solving, and critical thinking skills.
  • Strong communication, presentation, and negotiation skills.
  • Ability to work effectively in a team environment and make decisions collaboratively.
  • Liability Claims Audit experience.
  • Proficiency in MS Word, Excel, and PowerPoint.
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Keywords: National African-American Insurance Association (N, Malden , AVP, Liability Director, Claims Programs, Executive , Hartford, Massachusetts