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Officer, Claims Team Leader - Employment Practices Liability ('EPL")
Location:Wayne, PA
Job Type:Claims
FT/PT Status:Full Time
Job Description

Responsible for EPL Employment Practices Liability claim technical and administrative leadership ensuring compliance with company objectives, claim fundamentals, community goals and statutory regulations.  Assigns new EPL claims to examiners and provides direction and supervision for coverage, reserving, investigation, claim resolution and litigation management. Provides authorization for reserves and settlement consistent with established authority levels.  Ensures compliance with reinsurance reporting.  Interacts with underwriting to provide feedback on EPL claim trends and issues that may affect the health of our products.

Essential Functions:

  1. Administrative Leadership:  Leads a team of EPL claims professionals. Participates in new hire interview process.  Performs training, salary administration, performance reviews, professional development plans and related personnel matters.  Employs Leadership with Heart principles to Coach, Celebrate and Correct everyday.
  2. Technical Leadership: Review and assignment of new EPL claims to unit examiners and provide direction on coverage, investigation, reserving, and litigation management.   Provide guidance on EPL claim evaluation and conference cases when necessary providing authorization for reserve or settlements in excess of individual examiner’s authority. Review and approve all full or partial claim denials. Participate in conference of cases with Professional Liability Unit Claims Team Leader and Chief Claims Officer when appropriate.  Review and escalate initial notices to reinsurers and ensure compliance with reinsurance reporting guidelines.  Keep independent diary of those files with high exposure or complex issues. Facilitate the resolution of EPL claims to achieve 100% closing ratio. Monitor trials and mediations.
  3. Claim Service: Respond to telephone or written inquiries from customers, retail agents, attorneys, policyholders concerning coverage questions, handling of EPL claims, current status or related questions. Confer with underwriting team members in areas of product development and product health.  Provide  input to underwriting teams when requested and provide information from EPL claim experience on venues, statutes, case law, etc. that may impact the profitability of a product.

Other Duties and Responsibilities:

  1. Attend workshops and leadership functions provided by the Company. 
  2. Attends inter-departmental meetings and communicates with underwriting relative to product health.
  3. Participates in underwriting marketing events when requested.

Specific Skills:

Knowledge of coverage application, claim handling and jurisdictional issues affecting EPL claims handling. Excellent communication skills, both written and oral. Strong leadership and interpersonal skills. Good organizational and time management skills. Strong analytical skills.

Level of officership (Assistant VP or Second VP) dependent upon experience.

Minimum Job Requirements:

College Degree required. 5+ years of commercial claims handling experience is required. Experience handling Professional claims tendered under claims-made polices is preferred.  Previous supervisory or leadership experience desired. Advanced degree and/or JD is a plus, but not required.