MSIG USA
MSIG USA continues to grow. Company overview and job purpose are provided for context only and should reflect the role clearly.
Overview
MSIG USA
is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., a global P&C carrier and Class 15 insurer with A+ ratings, operating in 40+ countries. We provide commercial insurance solutions addressing business risks. Summary/Job Purpose This position conducts thorough investigations and evaluates and negotiates complex claims, including litigation and coverage issues. Accountable for compliance with MSMM Claim Handling Guidelines, including reserving and payment practices, regulatory requirements, and Fair Claims Practices Acts. Essential Functions
Investigates, researches and analyzes highly complex or severe claims, including coverage issues and legal issues affecting liability and damages. Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority. Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policies and procedures. Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required. Assigns the defense of lawsuits to approved defense counsel; directs and monitors quality and performance of defense counsel. Maintains compliance with all requirements of the company’s Litigation Management Program. Reviews and adjusts fee bills and legal expenses for accuracy and reasonableness. Serves the claim needs of customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews. Maintains ongoing communication with all customers throughout the claims process to provide timely and appropriate claim status as required by statutory regulations. Completes timely and accurate data reports to state reporting agencies to ensure full compliance with MSMM and regulatory requirements. Maintains full compliance with all regulatory Fair Claims Practices Acts and state and federal regulations. Maintains full compliance with state licensing and continuing education requirements to ensure current filing/standing of all adjuster licenses. Maintains regular reporting of case status and directions to Home Office staff and other parties as necessary, including timely file reports and system documentation as required by company procedures. Participates in and/or manages special projects and assignments as needed. Supervisory Responsibilities
This position has no supervisory responsibilities. Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education And Experience Required
Bachelor’s degree preferred 7+ years related experience handling complex liability claims It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. MSIG USA will provide reasonable accommodations for qualified individuals with disabilities. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Finance and Sales Industries: Insurance
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MSIG USA
is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., a global P&C carrier and Class 15 insurer with A+ ratings, operating in 40+ countries. We provide commercial insurance solutions addressing business risks. Summary/Job Purpose This position conducts thorough investigations and evaluates and negotiates complex claims, including litigation and coverage issues. Accountable for compliance with MSMM Claim Handling Guidelines, including reserving and payment practices, regulatory requirements, and Fair Claims Practices Acts. Essential Functions
Investigates, researches and analyzes highly complex or severe claims, including coverage issues and legal issues affecting liability and damages. Establishes appropriate case reserves, completes settlements and case resolutions within established reserve and settlement authorities. Recommends reserve and settlement values on assigned cases in excess of established reserve and settlement authority. Manages, controls and negotiates timely and equitable claim payments and settlements in accordance with jurisdictional and fair claim practices and company policies and procedures. Attends pre-trials, trials, settlement conferences and mediations on assigned cases as required. Assigns the defense of lawsuits to approved defense counsel; directs and monitors quality and performance of defense counsel. Maintains compliance with all requirements of the company’s Litigation Management Program. Reviews and adjusts fee bills and legal expenses for accuracy and reasonableness. Serves the claim needs of customers including insureds, claimants, brokers, etc., in accordance with company policy and procedures, and attends client visitations with underwriters and other parties to conduct presentations and reviews. Maintains ongoing communication with all customers throughout the claims process to provide timely and appropriate claim status as required by statutory regulations. Completes timely and accurate data reports to state reporting agencies to ensure full compliance with MSMM and regulatory requirements. Maintains full compliance with all regulatory Fair Claims Practices Acts and state and federal regulations. Maintains full compliance with state licensing and continuing education requirements to ensure current filing/standing of all adjuster licenses. Maintains regular reporting of case status and directions to Home Office staff and other parties as necessary, including timely file reports and system documentation as required by company procedures. Participates in and/or manages special projects and assignments as needed. Supervisory Responsibilities
This position has no supervisory responsibilities. Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education And Experience Required
Bachelor’s degree preferred 7+ years related experience handling complex liability claims It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. MSIG USA will provide reasonable accommodations for qualified individuals with disabilities. Job Details
Seniority level: Mid-Senior level Employment type: Full-time Job function: Finance and Sales Industries: Insurance
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