Casualty Claims Attorney

Overview

Casualty Claims Attorney at Universal Fire & Casualty Insurance Company.

Responsibilities

• Investigate, evaluate and resolve non-litigated and litigated casualty claims in accordance with company policies and procedures.
• Review and analyze insurance policies, contracts, and other documents to determine coverage. Write and issue appropriate coverage letters, with input and approval from management and / or coverage counsel.
• Conduct timely and thorough investigations, gather evidence, and prepare reports in support of claim decisions, either directly or through independent adjusters.
• Analyze liability, damages and value of the claim.
• Exercise independent decision making with minimal supervision, using knowledge of applicable codes, laws, standards and regulations.
• Analyze and timely establish appropriate reserves for both loss and expenses and adjust reserves as needed.
• Assign appropriate counsel for the defense of the insured, when needed, and work with assigned counsel to establish a budget and strategy for management of the claim.
• Negotiate with claimants, their counsel or other carriers to reach an appropriate resolution of the claim.
• Attend court procedures, including hearings, mediations or trials as needed; resolve claims through negotiation, mediation or trial.
• Identify and report all suspected fraud to internal or external SIU experts.
• Abide by state claim handling regulations and best practices.
• Obtain all closing documents and close claim files; respond to insureds and third parties promptly, courteously and professionally.
• Communicate the status of claims to insureds in a timely manner and address problems or concerns as they arise.
• Maintain accurate and complete claim files, keep information current, and manage diaries / activities for assigned claims.
• Keep management and the underwriting department apprised of developments and emerging trends.
• Handle special projects as assigned.

Qualifications and Educational Requirements

About Universal Shield Insurance Group

USIG targets property and casualty insurance for small and medium businesses with admitted and E&S products. We work with appointed wholesale General Agents and employ a risk acceptance process with underwriting rules, analytics, and external data sources. UFCIC and Shield maintain AM Best and Demotech ratings. USIG underwrites Surety and provides bonds through BondRamp.com, available 24x7x365. Corporate offices : Waterford and Grandville, Michigan; Dublin, Ohio.

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