James River Insurance is an excess and surplus lines segment of James River Group Holdings, Ltd. and operates on an approved non-admitted basis in 50 states and Washington, DC. Since 2003, James River has provided thousands of commercial property and casualty customers with innovative and creative solutions for particular insurance needs.
At James River Insurance, we are committed to providing a stable and rewarding work environment supported by our Core Values and Guiding Principles: Integrity, Accountability, Innovation, Customer Service, Communication, and Teamwork. We are proud of our recent national recognition as a 2022 and 2021 Top Workplaces USA awards.
James River Group Holdings, Ltd. is a Bermuda-based insurance holding company which owns and operates a group of specialty insurance and reinsurance companies. The Company operates in three specialty property-casualty insurance and reinsurance segments: Excess and Surplus Lines, Specialty Admitted Insurance and Casualty Reinsurance. The Company tends to focus on accounts associated with small or medium-sized businesses in each of its segments. Each of the Company's regulated insurance subsidiaries are rated "A-" (Excellent) by A.M. Best Company.
Job Summary
The Director, Complex Claims is responsible for the oversight of a sub-unit within the claims organization that directly handles or provides guidance on the most complex claims defined as claims of significant value, or complexity, or within a specialty line of business and litigated claims that may involve catastrophic injuries, life altering disabilities or multiple fatalities (Examples: NY Labor Law, robberies involving fire arms, sexual abuse charges, product and construction defect claims). The Director, Complex Claims ensures that the Company achieves the best possible outcomes on complex claims and lawsuits brought against Policyholders.
Duties and Responsibilities
• Continuously exhibit and uphold Core Values of Integrity, Accountability, Communication and Teamwork, Innovation and Customer Service
• Monitor complex claims frequency, suits, trends and caseloads for department
• Counsel management on legal risks, claim and litigation strategy and obligations in complex claims and lawsuits
• Oversee the investigations of the most complex claims, including liability and damages
• Participate in determining claim strategy, including if a claim should be settled or litigated ensuring adequate reserves and cost-effective resolutions
• Develop and direct the execution of the litigation management strategy including litigation by outside counsel representing James River on coverage issues
• Provide insight and help develop legal positions by conducting research and legal analysis and by providing clear direction on complex legal or claim handling questions or issues
• Direct the negotiation of the most complex settlements
• Attend mediations ensuring adequate reserves and cost-effective resolutions
• Research and track legal and regulatory developments and advise management and claims professionals regarding issues, approaches and the impact of changes
• Participate with Claims senior management in the recommendation and development and implementation of claims policy, business strategy and future technology enhancements involving complex claims
• Utilize complex claims experience to assist Underwriters in writing specific coverage to meet needs of high-profile clients
• Provide status reports to claims management, actuarial, and underwriting on complex claims with high dollar values and noteworthy media coverage
• Manage to and make recommendations on an operating budget for the complex claims unit
• Participate with the claims leadership team on the development of one, three and five year plans for the claims organization
• Ensure that project and department milestones and goals are met
• Interview, select and train new employees
• Guide and help team members with project issues
• Responsible for day-to-day tactical team decisions
• Track employee performance and provide regular and appropriate feedback
• Work with employees to collaboratively establish development plans
• Provide employee feedback through regular check-ins and writing and delivering performance reviews
• Lead team through obstacles and time constraints to overcome barriers and successfully deliver results
Knowledge, Skills and Abilities
• Advanced knowledge of the theories, principles, practices and procedures of claim and litigation management within an insurance organization
• Advanced knowledge of E&S insurance products
• Proficiency in MS Office (Word, Excel, Outlook)
• Ability to effectively communicate with all levels of the organization
• Excellent written and verbal communication skills
• Strong negotiation skills
• Skilled in active listening
• Excellent presentation skills
• Excellent organizational skills
• Strong analytical skills
• Ability to prioritize and handle multiple tasks in a fast-paced environment
• Ability to organize complex information and pay close attention to detail
• Ability to identify and make process and procedure improvement recommendations
• High level of initiative and motivation
• Ability to build relationships and influence decisions
• Ability to maintain confidentiality when performing all job functions
• Demonstrated ability to lead teams in building effective working relationships
• Demonstrated ability to lead, motivate, influence and mentor staff
• Ability to set clear expectations, effectively monitor progress, provide constructive feedback and guidance, and hold staff accountable
• Ability to effectively plan and delegate the work of others
• Ability to effectively manage change
• Proven ability to provide exceptional customer service
• Ability to obtain and retain required adjuster licenses
• Ability to travel
Experience and Education
• Bachelor’s Degree required
• Advanced degree, law degree plus State Bar Admission preferred
• Minimum of ten years of experience working on complex coverage-related insurance claims in the P&C insurance industry and/or as defense counsel on complex E&S- general casualty claims required
• Minimum of five years multi-jurisdictional claims and litigation experience required
• Minimum of five years of people management experience (supervision, mentor, lead) required
• Adjuster license required
• Certifications (CPCU, AIC, AINS, SCLA) preferred
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