Senior Claims Analyst, MPL (Washington)

Senior Claims Analyst

This position is with Rockville Risk Management, a third party administration arm of The RiverStone Group. Reporting to the UM of Management & Professional Liability. This role is primarily responsible for direct handling of various professional lines claims including but limited to Directors and Officers (D&O), Errors & Omissions (E & O), Employment Practice Liability (EPL) and Miscellaneous Professional Lines (MPL). The candidate will manage a portfolio of primary and excess claims that include higher exposure, greater severity and / or complexity. Duties include resolution of coverage and liability issues, claim evaluation, establishment of adequate reserves, litigation management, case resolution and transaction processing, and implementation of strategic initiatives relating to liability work matters, in alignment with the Company's Strategic Vision.

Essential Functions

• Directly handles and / or assists in monitoring, reviewing, and coordinating the activities involving professional liability insurance claims, including analysis of coverage issues, establishment of adequate reserves, and the resolution and closure of claims.
• Reviews loss notices; confirms and interprets policy coverages; establishes adequate reserves; and investigates and handles claims involving professional liability primary and excess policies.
• Manages litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures.
• Pursues and maximizes all risk transfer opportunities by contract or by insurance policy language.
• Assigns and manages of work of defense counsel, assignment of expert witnesses and interfacing with peer carriers including design and execution of defense and indemnity contracts, evaluation of liability and damages and participation in settlement negotiations.
• Ensures proper file setup, reserving, general handling and application of company procedure.
• Participates in developing claims handling strategy, including defense coordination, litigation strategy and budgets, and expense control.
• Records specific claims information and reports as appropriate to a manager relative to pertinent financial and general statistical records.
• Maintains diary control, investigates, analyzes, and reports to ensure maintenance of proper reserves to reflect the company's exposure and assists in providing notice to client reinsurers.
• Handles diverse and dynamic claims effectively.
• Empowered to make decisions within job description and authority. Seeks guidance where appropriate.
• Develops creative ideas and solutions to real time business problems and / or business opportunities; takes reasonable, calculated risks even if failure is possible.
• Empowers self and teammates to continuously improve RiverStone's business processes / systems and develops and escalates ideas and solutions.
• Seeks continuous development by identifying areas for growth and improvement. Works with continuous improvement team to implement process and technical improvements.
• Consistently delivers superior customer service to both internal and external business partners.
• Understands Key Performance Indicators and manages towards those priorities.
• Performs special projects and assignments related to area of authority as necessary.
• Maintains confidentiality.
• Establishes and maintains professional relationships.
• Assists in Due Diligence inquiries as assigned.
• Travels as required.
• Obtains and maintains claims adjuster licenses in those states requiring them.
• Mastery of the Complex Claims Analyst functions.
• Anticipates and identifies risks and opportunities on coverage and liability.
• Mentors and guides less experienced claim analysts.
• Assists the with departmental problem solving.
• Serves on Companywide committees and projects as assigned.

Related Functions

Required Skills

Organizational

Other

Experience

5-10 years' experience in Errors & Omissions / Professional Liability claims or related civil litigation role.

Required Education

Four-year college degree is required

Preferred Education or Certification

JD, CPCU, RPLU, SCLA, CCLA

Supervisory Role

N / A

Travel

Some travel required up to 10-15% of the time.

Work Environment / Physical Demands

This position operates in a professional based collaborative environment and must have the ability to timely produce thorough, accurate work with many competing demands, deadlines, and distractions. The position uses standard equipment such as phones, computers, copiers / printers and filing cabinets. Noise level is moderate. Other Duties (Disclaimer Statement) RiverStone retains the right to change or assign other duties to this position as needed.

Core Competencies

Learning on the Fly : Learns quickly when facing new problems; a relentless and versatile learner; open to change; analyzes both successes and failures for clues to improvement; experiments and will try anything to find solutions; enjoys the challenge of unfamiliar tasks; quickly grasps the essence and the underlying structure of anything.

Problem Solving : Uses rigorous logic and methods to solve difficult problems with effective solutions; probes all fruitful sources for answers; can see hidden problems; is excellent at honest analysis; looks beyond the obvious and doesn't stop at the first answers.

Process Management : Good at figuring out the processes necessary to get things done; knows how to organize people and activities; understands how to separate and combine tasks into efficient flow; knows what to measure and how to measure it; can see opportunities for synergy and integration where others can't; can simplify complex processes; gets more out of fewer resources.

Sizing Up People : Is a good judge of talent; after reasonable exposure, can articulate the strengths and limitations of people inside or outside the organization; can accurately project what people are likely to do across a variety of situations.

Ethics and Values : Adheres to an appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he / she preaches.

Diversity, Equity, Inclusion & Belonging

RiverStone Resources, LLC is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, LGBTQ+, national origin, gender identity, disability, protected veteran status, or any other characteristic protected by law.