Sr. Specialist, Risk Management Litigation

ESSENTIAL FUNCTIONS:

Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring it meets the company's specific requirements and aligns with industry best practices.

Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control.

Claims Adjudication: Oversee the evaluation, investigation, and adjudication of complex claims, including those related to commercial , general liability and property. Provide guidance and support to adjusters and defense attorneys in claim resolution and settlement strategies.

Assess risk transfer opportunities to third-parties and draft all tender documents when risk transfer is identified.

Prepare and provide claim data for monthly and quarterly reports.

Monitor the performance of the TPAs, establishing performance metrics and conducting regular evaluations. Identify areas for improvement, implement corrective measures, and provide ongoing training to Operations team effectiveness and efficiency.

Compliance and Regulations: Stay updated with industry regulations, legal requirements, and emerging trends in risk management. Ensure compliance with regulatory standards and company policies, including timely reporting, documentation, and adherence to claims handling protocols.

Foster a customer-centric approach within the Risk Management Department, emphasizing prompt and accurate FNOL, coverage issues, claim investigations, timely response to litigation, and effective communication.

Collaboration: Collaborate with other departments, such as investments, development, legal, operations and IT, to ensure seamless operations and optimize overall department performance. Provide insights and recommendations to SVP of Risk Management.

NON-ESSENTIAL FUNCTIONS:

Support Risk Management team on various tasks required and cover on team members while out of office.

EDUCATION/EXPERIENCE REQUIREMENTS: (including certification, licenses, etc.)

Bachelor's degree in business, Insurance and Risk Management, or a related field (equivalent experience may be considered).

Minimum of 7 years of experience in claims heavy organization (4 years litigated claims experience) or claims supervisor at TPA, insurance carrier or broker, with a focus on commercial real estate organizations or construction, general liability litigation, and property.

Strong knowledge of claims handling processes, insurance industry regulations, and best practices.

Experience in managing claims systems (preferably Riskonnect) and processes.

Proficiency in using RIMIS software and related tools.

Experience working with TPA's is highly desirable.

Relevant professional certifications (e.g., AIC, CPCU) are a plus.

KNOWLEDGE, SKILLS AND ABILITIES:

Demonstrated excellent customer service skills and a passion to help others.

Ability to work independently and manage time effectively.

Proven experience with advanced Excel functions and data management.

Ability to work independently.

Exceptional organizational skills and a proactive mindset.