Litigation Claims Examiner

Reserv Claims Analysis, LLC; United States; On-site; USD 120,000 - 190,000; Full time

Benefits offered by this job

Health insurance

401(k) with match

Generous PTO

Work from anywhere

Job summary

Reserv, an insurtech focused on AI-driven claims automation, seeks a BI‑LIT Claims Examiner to manage litigated auto claims and oversee related litigation tasks. You will negotiate settlements, gather evidence, and work closely with defense counsel and internal teams to drive prompt resolutions.

The role requires 10+ years of claim handling with litigation focus, strong analytical and negotiation skills, and the ability to operate effectively in a remote, fast‑paced environment.

Qualifications

• Bachelor's degree preferred; other qualifications considered.
• Extensive claim handling and litigation experience required.
• Strong written and spoken communication with negotiation skills.

Responsibilities

• Manage litigated auto claims from start to close.
• Attend mediations, arbitrations, and court hearings as needed.
• Coordinate with defense and claims teams; supervise outside vendors.
• Review discovery, analyze policy language, and determine coverage.

Skills

Litigation experience

Claims handling

Negotiation skills

Medical knowledge

Communication

Time management

Remote collaboration

Education

Bachelor's degree

Job description

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.

We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

About the role

We are seeking a skilled BI‑LIT Claims Examiner to manage litigated files and attend trials, conferences, mediations, and arbitrations. The successful candidate will:

• Investigate and gather all necessary information and documentation related to claims
• Evaluate liability and damages
• Negotiate and settle claims
• Manage litigation cases related to auto claims disputes

The BI‑LIT Claims Examiner will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Claims Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.

Who you are

• Highly motivated and growth-oriented. You’re excited by the prospect of building a tech-driven claims org.
• Passionate adjuster who cares about the customer and their experience.
• Empathetic. You exercise empathy and patience towards everyone you interact with.
• Sense of urgency - at all times. That does not mean working at all hours.
• Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest.
• Conflict‑enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
• Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
• Anti‑status quo. You don’t just wish things were done differently, you action on it.
• Communicative. (we'd love to know what this means to you)
• And did we mention, a sense of humor. Claims are hard enough as it is.

What we need

We need you to do all the things typical to the role:

• Managing legal aspects of litigated cases, including evaluation of legal process and expenses
• Analyzing and reviewing auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers
• Managing litigation cases related to auto claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders
• Collaborating with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry
• Reviewing legal documents and ensuring compliance with initial suit‑handing plan of action
• Serving as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed
• Analyzing policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing primarily litigated claim files from inception to closure
• Directing and controlling the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters
• Active insurance adjuster’s license by way of a designated home state, or home state

Requirements

• Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
• 10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
• Transportation litigation (rideshare, auto, trucking, etc) is preferred but those with personal lines experience should still apply if they meet all other requirements.
• You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable
• Understand transportation coverages. Understand contractual risk transfer and additional insured forms
• You have strong medical knowledge
• You have a sense of urgency and understanding of how to manage time‑sensitive demands
• Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
• Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
• Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
• Ability to professionally collaborate with all stakeholders in a claim
• Attention to detail, time management, and the ability to work independently in a fast‑paced, remote environment
• Curious and motivated by problem solving and questioning the status quo
• Desire to engage in learning opportunities and continuous professional development
• Willingness to travel for client and claims needs
• Generous health‑insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy after 8 months of continuous work
• Work from anywhere to facilitate your work life balance
• Apple laptop, large second monitor, and other quality‑of‑life equipment you may want. Technology is something that should make your life easier, not harder!

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first‑principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply.