Evaluation Sr Consultant - Remote

Job Summary:

This job is responsible for supporting management in ensuring consistency and objectivity in the Market Claim Office (MCO) by conducting ongoing, quality investigations of coverage, liability and damages through communicating with adjusters and defense counsel to review the claim file and determine claim value. This individual takes a second look at the claim evaluation process and provides a recommendation on injury and claim value. Also, monitors trial activity and assists in developing complex litigation strategy. The individual also ensures compliance with the claim process, identifies drivers of quality on operational results, and consults with adjusters and management on proper procedures, trends, file quality, negotiation strategies, and value drivers.

Key Responsibilities:

• Manages, researches, and resolves complex and occasionally highly complex customer communications, concerns, conflicts or issues

• Summa...