Remote Senior Claims Specialist — Litigation

Jobgether; United States; On-site; USD 77,000 - 144,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision coverage

Life insurance

Disability coverage

Wellness benefits

Paid time off

401(k) plan

Profit-sharing plan

Remote work may be considered

Job summary

Jobgether, on behalf of a partner company, seeks a Senior Claims Specialist - Litigation in the United States to manage complex liability claims from investigation to resolution. You will collaborate with panel counsel on cost-efficient strategies and maintain strong engagement with insureds, agents and stakeholders.

Requirements include a minimum of 10 years handling high-exposure litigation claims, strong knowledge of tort and contract law, and the ability to establish timely reserves and

Qualifications

• Minimum of 10 years of experience handling significant litigation claims with exposures of $500,000 or more.
• Demonstrated ability to identify and address complex coverage issues and conduct thorough investigations to determine liability and exposure.
• Proven experience establishing timely and accurate reserves and developing detailed action plans for complex claims.
• Strong knowledge of tort and contract law.
• Excellent negotiation skills with the ability to evaluate and resolve complex claims within appropriate authority limits.
• Strong interpersonal, written, verbal, and collaboration skills.
• Excellent time management, organizational, and prioritization abilities.
• Effective presentation skills, including the ability to communicate complex claims information clearly to different audiences.
• Working knowledge of legal billing software, claims management systems, spreadsheet applications, and word-processing software.
• Ability to work independently and exercise sound judgment with limited supervision.
• Strong attention to detail and commitment to accurate claims documentation and regulatory compliance.
• Adjuster licenses for Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Tennessee, or the ability to obtain the required licenses within 90 days of hire.
• BA/BS degree preferred, or equivalent relevant professional experience.

Responsibilities

• Manage litigated and other complex, high-exposure liability claims through coverage analysis, investigation, damage evaluation, reserving, negotiation, and resolution.
• Handle claims involving complex coverage issues, catastrophic bodily injuries, personal and advertising injuries, and employment practices liability.
• Develop positive and effective working relationships with panel counsel and collaborate on cost-efficient litigation strategies.
• Work with counsel to develop detailed action plans focused on effective case management and early resolution where appropriate.
• Prepare and present large-loss reports for significant claims.
• Establish timely and accurate claim and expense reserves based on thorough exposure analysis.
• Negotiate and communicate claim settlements within established authority limits.
• Attend mediations and trials and actively participate in litigation-related proceedings.
• Draft denial letters, Reservation of Rights letters, and other complex claims correspondence.
• Maintain an effective diary system and ensure claim file activities are accurately documented according to established procedures.
• Manage assigned file inventory to support timely and appropriate resolution of claims.
• Ensure claims are handled in accordance with applicable state regulations and established procedures.
• Provide responsive and professional service to insureds, agents, counsel, and internal and external stakeholders.
• Complete required administrative activities, including document preparation, expense reporting, time-off reporting, and other operational tasks.
• Contribute expertise and guidance as a subject matter expert on complex claims matters.
• Perform additional responsibilities as required.

Skills

Negotiation

Time management

Attention to detail

Communication

Independent work

Interpersonal skills

Regulatory compliance

Education

BA/BS degree preferred

Tools

Legal billing software

Claims management systems

Spreadsheet applications

Word processing software

Job description

Jobgether, on behalf of a partner company, seeks a Senior Claims Specialist - Litigation in the United States to manage complex liability claims from investigation to resolution. You will collaborate with panel counsel on cost-efficient strategies and maintain strong engagement with insureds, agents and stakeholders.

Requirements include a minimum of 10 years handling high-exposure litigation claims, strong knowledge of tort and contract law, and the ability to establish timely reserves and