Sr. Claims Representative

Who We Are

For over 70 years, Glatfelter Insurance Group has believed in doing the right thing for our clients, agents, communities and associates. This founding principle has enabled Glatfelter to grow from the kitchen-table, one-man-operation as it began, to one of the largest managing general agencies in the U.S. with nearly 500 associates across the country, a distribution network of over 4,500 independent brokers and more than 30,000 clients. It is what drives us to innovate-the desire to deliver the best for our clients. Founded as The Glatfelter Agency, which is still in operation, the program basis of Glatfelter Insurance Group, Volunteer Firemen's Insurance Services (VFIS), was founded in 1969. Throughout the years, Glatfelter has expanded to include specialized program business inclusive of public entities, educational institutions, healthcare facilities, and religious organizations. Glatfelter provides their insureds with comprehensive insurance solutions including property, casualty, life insurance, and more. In 2018, Glatfelter joined American International Group (AIG) and is now part of the AIG family.

About the Position

Glatfelter Insurance Group is seeking a full time, in-house Sr. Claims Representative to join our Glatfelter Claims Management team. This position involves the direct handling of commercial general and management liability claims for customers from our national insurance programs, including public entities; emergency service organizations; religious organizations; and hospice/home health organizations. This position will require the investigation, evaluation and resolution of large exposure non-litigated and litigated property and bodily injury liability claims. The ideal candidate will be able to interpret and apply pertinent insurance policy language, effectively communicate coverage, proactively conduct timely and thorough claim investigations, develop claim handling and resolution strategies, leverage litigation claims with exposure recognition and expense management, liability and benefits determinations, and provide exceptional customer service. Occasional travel required.

This position is required to be onsite at our Leader Heights, York, PA office.

Key Responsibilities

• Handles and/or monitors registration and coverage verification of claims.
• Handles and /or directs the investigation, negotiation and disposition of claims as the claim dictates within authority limits. Knows or finds out who to contact to get information needed.
• Checks extra sources or takes additional steps to obtain and verify information or resolve ambiguities.
• Demonstrates proficiency in developing targeted questions to obtain specific information when contacting and interviewing all involved parties.
• Evaluates claims and reserves claims within authority limits. Independently gathers documentation to evaluate damages.
• Settles claims promptly and equitably utilizing various settlement techniques such as ADR. Obtains releases.
• Authorizes and/or issues checks.
• Identifies and reviews potentially serious cases with management; prepares and presents recommendations, including settlement versus defend-through-trial recommendations to coverage/reserve/settlement committees.
• Maintains a working diary system.
• Prepares reports to management, agents and bureaus as directed by management.
• Shares responsibility of selecting, monitoring and managing the network of independent vendors necessary to efficiently and effectively handle claims on a nationwide basis.
• Handles the timely assignment of independent vendors and assures efficient and cost effective use of vendors.
• Shares responsibility of selecting, monitoring and managing outside legal providers for pre-litigation and litigation needs, and aggressively and effectively implements litigation management practices.
• Attends mediations, hearings and trials as assigned by management.
• Interprets and forms opinion on coverage. Considers positions of all interested parties within intent of policy and program.
• Issues coverage letters. Approval of coverage letters to be obtained as per procedures established by management.
• Informs claimant, insured or attorney of denial of liability and justifies denial when applicable.
• Ensures prompt and proper disposition of claims with assistance of a meaningful diary system.
• Recognizes, investigates and aggressively pursues recovery or contribution possibilities.
• Identifies claims with suspicious characteristics and manages fraud investigation.
• Reviews losses with reinsurance carrier as required.
• Represents GIG and GCM through continuous countrywide contact with insured, carriers, agents, claimants, attorneys, vendors, etc.
• Performs other duties as required by management.

What We're Looking For

• 5+ years of liability litigation claims experience or equivalent litigation practice preferred.
• Bachelor's degree or equivalent transferrable industry experience required.
• Must hold current state adjusting licenses or pass licensing exams within an aggressive period of time.
• AIC designation and litigation management experience preferred.
• Ability to read and interpret insurance policies and make appropriate decisions grounded on those interpretations.
• Advanced knowledge of insurance coverage and procedures.
• Must have or obtain knowledge of GCM workflow and procedures and GIG products and services on a fast track basis.
• Well developed and practiced negotiation skills.
• Ability to communicate effectively, both orally and in writing.
• Must have or obtain a working knowledge of a PC and related departmental equipment, systems and software within an accelerated period of time.
• Must speak clearly and exhibit the ability to reason and impart information to others.
• Must be imaginative, innovative, self-motivated and able to make sound, rational decisions.
• Able to cope with constant interruptions while maintaining a high level of composure and concentration in difficult and complex situations.
• Uses analytical ability and independent judgment within guidelines established by management.
• Objective in identifying loss exposures and translating them to fair, equitable settlements.
• Ability to compose letters and reports explaining complex issues.
• Must be able to prioritize daily tasks and manage one's own time.
• Takes the initiative to continue professional development. Should have attained or be working on AIC designation.
• Demonstrates leadership in team process and contributes to improvements and the overall success of the assigned team to achieve unit, department and company goals.

Why Choose Glatfelter?