CLAIMS LITIGATION SPECIALIST

Our Property and Casualty Commercial Insurance client is seeking a Claims Litigation Specialist due to promotions. Responsibilities are as follows:
The Litigation Specialist's job function includes efficiently and effectively handling advanced-level, primarily litigated, commercial first-party property and/or third-party general liability losses in a "paperless" environment.  An ability to communicate both verbally and in written form in a prompt, courteous and professional manner is essential.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Reviews and sets up new loss assignments in a timely manner in compliance with Department guidelines and best practices.
  • Establishes appropriate initial loss and expense reserves and continues to regularly evaluate the file for adequacy, accuracy and adherence to reserving guidelines.
  • Analyzes and interprets policy language in conjunction with specific loss facts to reach appropriate coverage decisions.
  • Drafts frequent and complex coverage correspondence, including reservation of rights and coverage disclaimers in compliance with various state statutes and regulations.
  • Composes a variety of other detailed correspondence to insureds, claimants, attorneys, agents and Regulatory agencies.
  • Proactively manages primarily litigated claim files from inception to closure, including identification and investigation of coverage, liability and damage issues, determination and efficient execution of an appropriate plan of action, and prompt, economical file resolution, in compliance with Department guidelines and best practices.
  • Appropriately and clearly documents all claim file activity, including current strategy, plan of action and exit plan in file notes.
  • Consistently demonstrates comprehensive coverage analysis, investigation, evaluation and negotiation skills at an advanced level.
  • Directs and controls the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters.
  • Effectively presents and discusses loss facts and issues in roundtable discussions to peers and members of management at all levels.
  • Composes and transmits in a regular and timely basis frequent Large Loss Reports and other detailed reporting documents as appropriate.
  • Manages and monitors file caseload through the use of various resources.
  • Obtains all required state adjuster licenses and maintains them as required via compliance with mandatory continuing education requirements.

QUALIFICATIONS

EDUCATION and/or EXPERIENCE

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.  Some college preferred.

Must have at least fifteen (15) years of insurance commercial claims experience. Excess and Surplus experience would be helpful. 

 

Must have intermediate knowledge of computer programs in a Windows environment, including Word, Excel and E-mail.

CERTIFICATES, LICENSES, REGISTRATIONS

CPCU, AIC, AEI or completion of other insurance-related classes is preferred.  Certificates as required by states. 

Job 3073.