Litigation Insurance Adjuster (Remote: Pacific Time Zone)

TruStage; California; Hybrid; USD 93,000 - 140,000; Full time

Job summary

TruStage in the United States is seeking a Claim Litigation Consultant II to independently investigate, evaluate, and resolve large and complex third-party litigated claim files. You will provide proactive consultative support to credit unions and collaborate with underwriting, risk management, actuarial, and Legal staff.

The role requires at least a bachelor’s degree and 7 years of claims experience with litigation focus; travel is required for mediations and trials, and familiarity with policy

Qualifications

• Bachelor’s Degree or equivalent work experience required.
• Minimum 7 years of claims experience with a focus on litigation.
• Knowledge of policy coverage and interpretation skills.
• Ability to work independently, including in a remote office environment.

Responsibilities

• Proactively manage litigation process on assigned claims to investigate, evaluate, and negotiate to resolution.
• Decide when external resources will be hired for investigations, expert analysis or legal services.
• Collaborate with Underwriting, Risk Management, Actuarial and Legal staff.
• Provide education and information to partners and credit unions regarding risks and exposures.
• Demonstrate interpersonal, negotiation, analytical and critical thinking skills.
• Provide timely reporting as per claim handling guidelines.
• Understand applicable statutes, regulations and case law.
• Demonstrate knowledge of financial services operations.
• Handle claims in multiple states.
• Ensure maximum recovery or contribution is pursued.

Skills

Communication skills

Remote work capability

Problem solving

Organizational skills

Decision making

Education

Bachelor’s Degree or equivalent work experience

Tools

Microsoft Office

Web applications

Job description

At TruStage, we’re on a mission to make a brighter financial future accessible to everyone. We put people first, and work hand in hand with employees and customers to create a diverse and inclusive environment. Passionate about building insurance and financial services solutions, we push the boundaries of what’s possible. We need you to help us shape what’s next. You’ll be encouraged to share your experiences, ideas and skills to help others take control of their financial future.

Join a team that has received numerous awards for being a top place to work: TruStage awards and recognition

Job Purpose

This position, working independently and using specialized expertise, will investigate, evaluate coverage and liability exposures and negotiate and resolve large and/or complex third-party litigated claim files. Claim Litigation Consultant II will provide credit unions with superior claims service, building and solidifying a strong partnership through proactive professional consultation and delivering optimal solutions to meet their needs on third-party litigated claims. They will also offer consultation on credit union risks and areas for loss prevention as a result of litigation. Collaborate with other claims and product experts to ensure the consistent handling of commercial insurance claims and will be accountable for decision-making regarding the appropriate use of investigators, experts and outside legal counsel. The incumbent will also be accountable for ensuring that recovery processes are integrated into the resolution of their claims.

Job Responsibilities

• Proactively manage litigation process on assigned claims to investigate, evaluate, and negotiate to resolution
• Decide when external resources will be hired to conduct claim investigations, expert analysis or provide legal services
• Collaborate with Underwriting, Risk Management, Actuarial and Legal staff
• Proactively provide education and information to business partners and credit unions regarding risks and exposures, operations and efficiencies for credit unions and TruStage
• Demonstration of effective interpersonal, leadership, negotiation, analytical and critical thinking skills
• Provide timely reporting as dictated by claim handling guidelines
• Understanding of applicable statutes, regulations and case law
• Demonstrate knowledge of financial services operations
• Handle claims in multiple states
• Ensure maximum recovery or contribution are pursued

The above statement of duties is not intended to be all inclusive and other duties will be assigned from time to time.

Job Requirements

• Bachelor’s Degree or equivalent work experience
• Minimum of 7 years of claims experience with a focus on litigation
• Must have demonstrated knowledge of policy coverage and interpretation skills
• Dedicated to meeting the expectations and requirements of internal and external customers
• Demonstrated problem-solving skills.
• Excellent verbal, written, and interpersonal communication.
• Demonstrated ability to work independently, including working effectively in a remote office environment.
• Strong experience in Microsoft Office Suite and web applications and general computer skills
• Some travel required (mediations, trials and credit union visits)
• Makes decisions in an informed, confident and timely manner
• Strong organizational, time management and decision-making skills
• Easily adapts to new or different changing situations, requirements or priorities
• Adjuster License and Continuing Education as needed
• AIC, CPCU or other professional industry education a plus
• Project management experience a plus
• Prior experience working with Program Third Party Administrators is a plus

TruStage may process applicant information using an Artificial Intelligence (AI) tool. This tool automatically generates a screening score based on how well applicant information matches the requirements and qualifications for the position. TruStage recruiters use the screening score as a guide to further evaluate candidates; the score is one component of an application review and does not automatically determine whether a candidate moves forward. Candidates may choose to opt out of this process.

Compensation may vary based on the job level, your geographic work location, position incentive plan and exemption status.

Base Salary Range $93,100.00 - $139,700.00

At TruStage, we believe a sound, inclusive benefits program is of vital importance, along with a flexible workplace that allows for work-life balance, career growth and retirement assistance. In addition to your base pay, your position may be eligible for an annual incentive (bonus) plan. Additional benefits available to eligible employees include medical, dental, vision, employee assistance program, life insurance, disability plans, parental leave, paid time off, 401k, and tuition reimbursement, just to name a few. Beyond pay and benefits, we also recognize that flexibility, including working in a place you prefer, is essential to caring for our employees. We will continue to strive to offer flexibility and invest in technology and other tools that will make hybrid working normal rather than an exception, so that when "life happens", you can focus on what's most important.

Accommodation request

TruStage is a place where everyone can bring their best self and thrive. If you need application or interview process accommodations, please contact the accessibility department.