Meridian, ID, US
1 day ago
Claims Technical Consultant
Claims Technical Consultant Location Name ID, Meridian ID 2025-11769 Date Posted 14 hours ago(2/7/2025 5:40 PM) Company Berkley North Pacific Grp Primary Location US-ID-Meridian Category Claims Company Details

 

Berkley North Pacific is rooted in the Pacific Northwest offering personalized commercial insurance solutions through collaborative efforts for ultimate customer experience. We do this by empowering our people and being 100% customer obsessed. Additionally, we offer the reassurance to our customers that their insurance investment is sound, as we are backed by the resources of a Fortune 500 company, W. R. Berkley Corporation.

 

In 2023, BNP was named in the annual Best Places to Work in Insurance program, which recognizes employers for their outstanding performance in establishing workplaces where employees can thrive, enjoy their work and help their companies grow.

 

The Company is an equal employment opportunity employer.   #LI-AV1 #LI-hybrid

 

Responsibilities

The Claim Technical Consultant (CTC) resolves claims at the highest authority levels on commercial property casualty claim assignments reflecting the highest degree of technical complexity, in the most effective, efficient way while delivering a customer-centric claims service. This position is responsible for analyzing coverage, liability, damages, evaluating reserves and negotiating settlement or conclusion of complex claims. A CTC demonstrates a proven ability to handle complex coverage, liability and damage issues across multiple jurisdictions.  This is a manager level position for those team members that choose to take the technical career path at BNP. 

 

What you can expect:  

Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talentInternal mobility opportunities Visibility to senior leaders and partnership with cross functional teamsOpportunity to impact changeBenefits – competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education 

We'll count on you to:

Examine and analyze policies, contracts and claim forms to determine coverage on complex and multi-party claimsUse judgment to determine liability by gathering and analyzing relevant facts, utilizing applicable law and establishing basic principles of negligenceInvestigate loss in a prompt manner by telephone, correspondence or on-site investigation to determine the extent of the Company’s liability. Negotiate settlement or conclusion of claim.Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc.Review and hire potential liability and medical experts needed to defend litigated and pre-suit claimsUtilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluates exposures and reserves during the life of the claimManage litigation by assigning counsel within the approved panel where applicable, establishing litigation plan and budget, coordinating defense lawyer activities, continuously reviewing the potential for settlement with claimant, reviewing litigation expenses and authorizing paymentsCorrectly enter claim data into claim and related systems for reporting purposes Collaborate with claims department staff on claim files in subrogation, arbitration and salvage recoveryConduct full Medicare lien analysis, data integrity and negotiates Medicare liens when applicableRecommend appropriate outside legal counsel to coordinate the defense of each suit.  Strategize and evaluats, with assistance of outside defense counsel, to determine direction of defense, e.g., defend to conclusion; compromise; or negotiate a fair and equitable settlement.  Assigs tasks, sets completion dates and establishes costs Provide technical advice, direction, training and mentoring to the Claims Department staff on complex commercial casualty and/or property claimsAttend settlement conferences, depositions, medications, pre-trial hearings and trials when advisableContribute to profitable growth by providing risk insight, information and trends to Business Unit or customer as neededMaintain professional and technical knowledge by participating in educational opportunities, staying current with industry trends, establishing personal networks and participating in professional societiesMaintain and update legal and coverage trend knowledge across multiple jurisdictionsAct as a technical expert for own team, and internal business partners and provides insights to help improve product offerings, risk assessments and policy languagePresent high value complex claims to senior claim leaders for authority and strategy Qualifications

What you need to have:

Bachelor’s Degree and 15+ years of experience in the Claims Technical area OR
Juris Doctor and 4+ years of experience in the Claims and Litigation Management areaMust obtain and retain required adjuster licenses

Advanced insurance coverage interpretation skills

Understands, analyzes, and applies the component parts of an insurance policy for complex claims

Ability to analyze contracts and other legal documents and take positions on claim issues

Proven Litigation Management Skills

Advanced Negotiation Experience

Strong analytical, critical thinking and problem-solving skills

Ability to determine the scope and exposure for complex claims

Excellent verbal, written communication and presentation skills to effectively communicate coverage determinations to customers/clients/brokers for complex claims

Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims

Proficiency with Microsoft Office suite

What makes you stand out:

Knowledge of insurance regulations, markets, and productsAdvanced insurance education desired, e.g., AIC, CPCU, SCLAAbility to leverage trend and relationships to provide high-quality customer service

Experience collaborating in a team environment and building cross functional working relationships

Proactively shares and promotes sharing of insights

Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/conceptsAbility to gather unique perspectives from other teams/functions to optimize outcomes Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.

The company offers a competitive compensation plan and robust benefits package for full time regular employees.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Connect With Us! Not ready to apply? Connect with us for general consideration.
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