Analyzes information, developments and trends on new and renewal accounts with premiums up to $25,000, to determine the risks associated with insuring the accounts. Within this segment of business, automated underwriting edits enable the routine / low risk accounts to be processed without underwriter involvement - leaving only the accounts with conditions requiring extra scrutiny for me to review and determine risk acceptability while ensuring compliance with established underwriting… Show more Analyzes information, developments and trends on new and renewal accounts with premiums up to $25,000, to determine the risks associated with insuring the accounts. Within this segment of business, automated underwriting edits enable the routine / low risk accounts to be processed without underwriter involvement - leaving only the accounts with conditions requiring extra scrutiny for me to review and determine risk acceptability while ensuring compliance with established underwriting strategies and regulatory requirements. I exercise my authority to decide whether to offer, continue, modify, or reject insurance; and am also responsible for finalizing the amounts and types of coverage, and determining the appropriate premiums.• Attained 5.6% increase in policy count last year • $917,000 written in new business; $4,275,532 in renewal premium• 22% accident year loss ratio Show less

Handled highly complex claims involving examining, investigating and resolving Commercial and Personal lines general liability, auto, property and inland marine claims in multiple jurisdictions. Claims involving high exposure damages, injuries, and/or coverage issues. Have developed strong negotiation skills for settlement of claims with policy holders, plaintiffs and attorneys. Have developed a great working knowledge of contracts between parties and how it relates to policy language… Show more Handled highly complex claims involving examining, investigating and resolving Commercial and Personal lines general liability, auto, property and inland marine claims in multiple jurisdictions. Claims involving high exposure damages, injuries, and/or coverage issues. Have developed strong negotiation skills for settlement of claims with policy holders, plaintiffs and attorneys. Have developed a great working knowledge of contracts between parties and how it relates to policy language including the responsibility to pay claims, accept tenders and/or hold another party harmless.• Maintained an active diary on all pending (approximately 100-120) through conclusion• Present high exposure cases to home office management within company guidelines• Complete detailed reports for large loss account meetings and interaction with underwriting• Attend mediation, depositions, trials, in person as needed• Manage/control litigation and expert expenses throughout the course of the claim• Draft compromised and minor settlements Show less

• Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.• Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.• Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.• Communicate with reinsurance brokers to obtain information necessary for… Show more • Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.• Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.• Adjust reserves or provide reserve recommendations to ensure that reserve activities are consistent with corporate policies.• Communicate with reinsurance brokers to obtain information necessary for processing claims.• Conduct detailed bill reviews to implement sound litigation management and expense control.• Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.• Resolve complex, severe exposure claims, using high service oriented file handling.• Present cases and participate in their discussion at claim committee meetings.• Confer with legal counsel on claims requiring litigation.• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.• Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.• Contact or interview claimants, doctors, medical specialists, or employers to get additional information.• Report overpayments, underpayments, and other irregularities.• Pay and process claims within designated authority level.• Prepare reports to be submitted to company's data processing department. Show less

• Investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.• Enter claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.• Contact or interview claimants, doctors, medical specialists, or employers to get additional information.• Pay and process claims within designated authority level.