We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Your judgment plays a key role in shaping outcomes. You'll influence decisions on some of our most significant claims, backed by leaders who respect your experience. Flexibility Meets Purpose This role is remote or hybrid depending on location, with only a modest two days a month expectation if you live near a hub. You'll Keep Growing From advanced technical training to mentorship opportunities, we're dedicated to helping you expand your impact. 5+ years managing complex and litigated casualty claims Deep expertise handling severe to catastrophic injuries and fatalities Strong analytical thinking, negotiation skills, and sound judgment Ability to thrive in a fast\u2011paced, high\u2011stakes environment Professionalism, empathy, and exceptional communication skills Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required. Demonstrated leadership ability and time management skills to delegate work appropriately and organize resources effectively. Demonstrates an expert level knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree or equivalent training plus 4 to 6 years directly related work experience (at least two of which should ordinarily be in a team leader capacity). Licensing required in some states. Manage the investigation, evaluation, and resolution of complex auto and homeowner's casualty claims. Assess coverage, liability, and damages; recommend settlement strategies and escalate appropriately for authority review. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Collaborate closely with trial counsel; attend mediations, arbitrations, trials, hearings, and conferences. Prepare detailed litigation and trial reports for local management and Home Office. Communicate effectively with policyholders, witnesses, attorneys, and claimants to gather information and provide guidance. Responds to various written and telephone inquiries including status reports. Maintain accurate reserves, recommending increases on cases in excess of authority. Safeguard financial and confidential information across all claim files. Oversee billing practices of outside and in\u2011house counsel to ensure compliance and cost efficiency. May assist as a resource to the team, stepping in for the Claims Team Manager when needed or mentoring colleagues; or representing the company on matters involving state or federal regulatory agencies. 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Portfolio analysis: in-depth reviews of the portfolio's composition and profitability Rating models: maintenance and enhancement of existing models and development of new models as necessary Parameter studies: periodic data-driven reviews of pricing parameters Clear communication of results of actuarial analyses to underwriters, finance, management, and claims personnel Participation in discussions with lead Underwriters and Claims personnel regarding profitability and strategic direction Participation in the reinsurance placement process as necessary Responding to ad hoc analysis requests from Underwriting, Claims, and senior management Bachelor's degree required; Master's degree preferred. Associateship or Fellowship in the Casualty Actuarial Society (ACAS/FCAS) or in Society of Actuaries (ASA/FSA) designation preferred or comparable education/designation with relevant experience. Minimum 5-7 years relevant experience required. 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Reviews and negotiates policy terms and conditions including manuscript wording. Underwrites targeted new and renewal business by reviewing and analyzing insured's (or prospective insured's) loss history, financials, and other pertinent information. Makes independent marketing calls to brokers and prospective insureds. Contributes to the development of marketing plans, product analysis, services, geographic focus and broker intelligence. Communicates with other product line underwriters and claims analysts in order to provide top level customer service. Assists other members of the department including Underwriters, Associate Underwriters in product line and/or technical knowledge and development. Performs related duties as requested to include, report preparation, presentations, and special projects to assist in ensuring the success of the product line unit. 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Proficient with AI tools and manage general liability, umbrella and excess insurance policies. Gathers, organizes and enters information into pricing models; and performs the initial analysis of exposure, loss and coverage for the underwriter. Supports the underwriter and agent/broker with highly responsive service by managing the workflow from clearance through policy issuance and file documentation. Coordinates service requests in a timely manner. Deconstructs submissions by identifying, gathering and entering information into systems, pricing tools and models; flagging referral triggers, and initiating/managing requests to internal service providers (e.g., rating). Gathers, analyzes and ensures the accuracy of pricing and proposal information (rating and pricing tool output, proposal language, coverage forms and endorsements, financial and legal agreements and offer/ disclosure /election forms) used by the underwriter to complete the coverage review, hazard analysis, pricing strategy and proposal. Provides customer service to brokers and agents to facilitate the processing of business; answers questions, resolves problems on topics such as policy transactions, billing, and service needs. Executes post-sale account management workflow, including initiation of billing, policy issuance, acquisition of account agreements and file documentation. Initiates pre-renewal communications via conditional/non-renewal notice draft when necessary. Supports the underwriter with mid-term account reviews / stewardship, ongoing service, service planning and endorsements. Capabilities include critical thinking/problem solving, decision making, customer focus, detail orientation, written/verbal communications, organization, adaptability, courtesy, dependability and ability to learn/apply new information quickly and accurately. Knowledge, skills and capabilities typically acquired through 2 or more years of related work experience. 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Performs duties associated with bond issuance and/or agency change, processing activities in Surety/corporate systems, and file maintenance. Provides exceptional customer service and support to internal/external customers. High school diploma or equivalent required. 1+ year related experience required. Strong written and oral communication skills to correspond with office personnel and agents. Exceptional customer service skills. Demonstrates ability to work well on a team and independently. Good organizational skills. Competent and proficient with computer software applications utilized by Surety. 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Prepare actuarial research and complex reports and projects present findings and recommendations. Provide clear and concise communication of technical actuarial work to technical and non-technical audiences, and on cross functional teams. Maintain clear and concise documentation of methods and activities. Interact with and provide actuarial technical assistance and information to peers, senior managers, and others within and outside of the organization. Mentor, motivate, and train less experienced staff and peers. Direct the development of actuarial tools. Bachelor's degree required; Master's degree preferred. Associateship or Fellowship in the Casualty Actuarial Society (ACAS/FCAS) or in Society of Actuaries (ASA/FSA) designation preferred or comparable education/designation with relevant experience. Minimum 5-7 years relevant experience required. Sound knowledge of actuarial techniques and standards, as well as other business operations including financial, underwriting, legal, statistics, claims, sales, etc. Advanced communication and interpersonal skills and ability to build relationships and interact effectively with others within and outside the organization. Ability to motivate and mentor peers and motivate and train subordinates. 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Analyze, investigate, and evaluate complex environmental, pollution, toxic tort, and related specialty claims to determine coverage, liability, and claim disposition. Own claim strategy from initial notice through final resolution, ensuring timely, fair, and cost-effective outcomes. Establish and manage indemnity and expense reserves, ensuring reserve adequacy throughout the life of the claim. Recommend reserve adjustments and strategic actions on matters that exceed settlement authority. Prepare comprehensive claim analyses and reports for management and business partners. Identify emerging claim trends, coverage issues, and portfolio insights, communicating findings to leadership and underwriting teams. Direct and oversee litigation strategy through the selection and management of defense counsel and other experts. Manage legal budgets, invoice review, and adherence to litigation management guidelines. Lead negotiations and actively participate in mediations, arbitrations, and settlement discussions. Partner with brokers, risk managers, reinsurers, and insureds to strengthen relationships and deliver exceptional service. Support audit and compliance processes while maintaining required adjuster licenses and professional credentials. What Makes You Successful You bring strong technical expertise, sound judgment, and the ability to navigate highly complex claims involving multiple stakeholders and evolving legal and regulatory considerations. You're comfortable making independent decisions, influencing outcomes, and balancing customer service with strong business acumen Bachelors' Bachelor's Degree and/or advanced degree. 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Conduct complex analyses under general direction \u2014 independently querying data, building tools for team use, and performing technical and analytical assessments of product features and key performance metrics. Lead and project-manage initiatives with manager guidance, partnering with Risk Analytics, State Management, Distribution, Technology, Policy & Production Support, and other cross-functional teams to design and implement changes. Synthesize research and analysis into insights and actionable recommendations that shape product design and strategy. Regularly present insights and recommendations to Product and Distribution leadership and cross-functional teams. Gather external research \u2014 including competitive intelligence and insights from vendors, market research teams, and other functional areas. Serve as a resource for less-experienced analysts and mentor interns or rotational analysts as needed. 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Exceptional hands-on data science technical skills (e.g. SQL, Python, and Statistical Inference). Experience collaborating with non-technical stakeholders to understand which problems need solving, design solutions, and bring them to market. Experience working with complex Type II data to assemble training datasets to appropriately model operational processes. Proficiency in Python and MLOps practices, with experience in version control (Git), code review, collaborative development workflows (e.g., GitHub/GitLab), and model versioning/experiment tracking (e.g., MLflow). Knowledge of claims handling processes and experience working with claims data. Experience developing LLM-based solutions for production use cases. Practical experience with cloud platforms like AWS (preferably), Google Cloud, or Azure. Familiarity with data pipeline and workflow management tools like Airflow, among others. Broad knowledge of predictive analytic techniques and statistical diagnostics of models. Expert knowledge of predictive toolset; reflects as expert resource for tool development. Demonstrated ability to exchange ideas and convey complex information clearly and concisely. Networks with key contacts outside own area of expertise. Ability to establish and build relationships within the aligned functional area or SBU. Ability to give effective training and presentations to peers, management and less senior business leaders. Ability to use results of analysis to persuade team or department management to a particular course of action. Has a value driven perspective with regard to understanding of work context and impact. 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(max-width:989px){#advanced_menu_toggle[data-av_icon]:before{font-size:30px;font-weight:normal;font-family:'FontAwesome'!important;} #advanced_menu_toggle{border-width:0px;} .container{padding:0 30px;} .responsive .logo{padding-top:10px;} } .main_menu .current_page_item a .avia-menu-text{border-bottom:0!important;} @media screen and (max-width:767px){.rem-arrow a:before{content:' '!important;} .responsive #top #wrap_all .container{width:92%;max-width:92%;} #advanced_menu_toggle{left:0;right:auto;border-width:0px;} .responsive #top .logo{margin:0 auto;width:150px;} .responsive .logo img{max-height:40px;margin:0 auto!important;} #header_main{border-top:0;} } @media screen and (min-width:1024px){li#menu-item-13649 ul.sub-menu{left:207px!important;} li#menu-item-13649.dropdown_ul_available>a::after{font-family:FontAwesome;position:absolute;left:auto;margin:0 5px;font-size:10px;} } #top a:focus{outline-offset:-2px!important;opacity:1!important;} .inner-container 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background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-11981:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1136:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-1435:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-3937:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} #menu-item-12966:hover{background-color:rgba(255, 255, 255, 0.8) !important;-webkit-transition: background-color 300ms linear;-ms-transition: background-color 300ms linear;transition: background-color 300ms linear;} .fa-brands{-webkit-font-smoothing: antialiased; font-style: normal; font-variant: normal; line-height: 1; text-rendering: auto;font-family: 'Font Awesome 6 Brands'} .position-details li{list-style-type: disc;} .header-wrapper{display:none!important;}.disability p {text-align:center!important;background-color:#F0F0F0!important; height:45px!important;padding-top:12px!important;} .disability a {color:blue!important;text-decoration:underline!important;} @media only screen and (max-width: 1325px){.disability p {height:67px!important;}} @media only screen and (max-width: 675px){.disability p {height:92px!important;}} @media only screen and (max-width: 480px){.disability p {height:114px!important;}}h4{margin-top: 5px;font-weight: 600;}