Claims Litigation Specialist

About the role

ERGO NEXT is seeking a highly skilled Claims Specialist to handle a range of complex cases, including Bad Faith claims, documented cases of daycare abuse/molestation, fatalities involving coverage issues, and construction defect cases involving multiple parties and complex contractual issues.

Responsibilities

• Handle complex cases involving true Bad Faith claims with adverse and identified coverage/claims handling issues.
• Manage documented cases of daycare abuse/molestation, ensuring thorough investigation and resolution.
• Handle fatality cases with coverage issues, providing expert analysis and resolution.
• Manage construction defect cases, specifically focusing on complex ones involving multiple parties and intricate contractual issues.
• Centralize Declaratory Relief Actions by taking charge of coverage files and coordinating with relevant parties.
• Handle severe injury cases with complex issues, including coverage, liability, or damages concerns.
• Evaluate policy limit exposures, ensuring a true policy limit exposure exists and the potential for extra-contractual exposure is real.
• Address problematic claims that require dedicated attention to achieve resolution.

Requirements

• At least 15-20 years of directly related experience with Commercial General Liability and Litigation.
• Previous experience in handling complex claims, particularly in the areas of Bad Faith, daycare abuse/molestation, fatalities with coverage issues, and construction defect cases involving multiple parties and complex contracts.
• Proven track record of autonomously executing tasks with precision and efficiency.
• Strong negotiation skills.
• Strong knowledge of insurance policies, coverage analysis, and claims handling practices.
• Excellent analytical and problem-solving skills to navigate complex issues and reach satisfactory resolutions.
• Attention to detail and ability to prioritize tasks effectively.
• A collaborative mindset to work closely with the gatekeepers in determining case assignments and reassignments.
• Familiarity with Declaratory Relief Action procedures and centralized file management is a plus.

Qualifications

Commensurate with experience.

Skills

N/A

Benefits

N/A

Pay

US Annual Base Salary Range For This Full-time Position $106,000—$143,000 USD

Schedule

Full-time