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Refers to claim to subrogation group or Special Investigations Unit as appropriate. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company. Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participates in Quality Review process. Participates in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews. Performs other duties as assigned. 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). 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Execute monthly State Targeted Marketing (STM) and new business customer analyses, translating findings into actionable insights and recommendations. Participate in weekly and bi-weekly meetings to share key trends across Product, Distribution, and Marketing teams to support cross-department alignment. Support lifetime value models which predict the total value of a customer, partnering across USRM using the latest org science and trends. Manage both the identification and translation of emerging trends into actionable data to stakeholders across Marketing and Distribution. Improve efficiency of lifetime value processes, create new diagnostics including monitoring, and isolate drivers of changing customer value. Model inclusiveness by living our values and contribute to creating an inclusive culture. Bachelor's Degree plus 2-4 years of experience, or Master's Degree with no professional experience, or equivalent. 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Provide thoughtful execution of second opinion reserve reviews with an eye to generating business insights. Clearly communicate results and methods to Corporate and SBU management for the purpose of influencing the business. Maintain clear and concise documentation of methods and activities. Develop effective tools for monitoring internal and external indications. Build and implement process improvement initiatives. Proven math and analytical skills, as normally acquired through the pursuit of a Bachelor's degree in Mathematics, Statistics, Economics, Actuarial Science, or related field. Commitment to achieving Associateship or Fellowship in the Casualty Actuarial Society. Passing grades on a minimum of 5 Casualty Actuarial Exams is required. Minimum 3-5 years relevant experience required. 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