Claims Specialist - Litigation
Jobgether · United States · 4 wk ago
RemoteRemoteLegal$77k–$144k/yrFull-time
We need to output only HTML fragment, no html/body tags, no markdown fences. Use for section headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to include sections only when posting has real specific content. We must not repeat job title as heading. We must not put Job ID/requisition numbers as headings. Remove boilerplate, navigation, legal, EEO, scam warning, duplicated lines, application instructions. Also remove "How Jobgether Works", "Why Apply Through Jobgether?", Data Privacy Notice, etc. Also remove "This position is listed on behalf of a partner company..." maybe that's boilerplate but it's about partner managing applications; maybe we can keep minimal? It says "This position is listed on behalf of a partner company, who manages all applications and next steps." That's basically application instruction; we should remove. Also "Our partner is looking for a Claims Specialist - Litigation based in United States." That's basically job title and location; we can keep location maybe in a paragraph. But we should not repeat job title as heading. We can include a short paragraph with location and maybe remote work note.
We need to preserve all substantive information: responsibilities list, requirements list, benefits list, pay range, schedule? There's no explicit schedule besides "Full-time employment". So we can include a Schedule section if we have content: "Full-time employment". That's specific enough? It says "Full-time employment with a comprehensive benefits package." So we can put Schedule: Full-time. But we need to avoid filler like "not specified". It's specified as full-time, so we can include.
Pay: Base salary range $77,000–$144,000. Also eligibility for annual discretionary bonus. That's pay info.
Benefits: list health, dental, vision, life and disability insurance, wellness programs, paid time off, 401(k), profit-sharing, etc. Also remote work may be considered for highly qualified candidates who do not live within commuting distance of designated offices. Also opportunity to work on complex claims etc. Those are more like benefits? Could be under Benefits or maybe under "About the role". But we can include them in Benefits.
We need sections: About the role (maybe a prose summary), Responsibilities (list), Requirements (list), Qualifications? Could combine Requirements and Qualifications but we need to follow headings list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We should only include sections that have real content. We have content for About the role (summary), Responsibilities (list), Requirements (list), Qualifications (maybe education/license), Skills (maybe negotiation, interpersonal, etc.), Benefits, Pay, Schedule.
We must not invent or summarize away detail. Must preserve all substantive information. So we need to include each bullet from responsibilities, requirements, etc. Also include license requirement: Active adjuster licenses in AL, GA, MS, NC, SC, TN, or ability to obtain within 90 days. Also Bachelor's degree preferred or equivalent experience. Also ability to work effectively with stakeholders, attention to detail, etc. Also sponsorship not offered.
We need to avoid duplication: some lines repeat. We'll deduplicate.
Let's extract responsibilities bullet list from text:
- Manage litigated and other complex or high-exposure liability claims through coverage analysis, investigation, damage evaluation, reserving, negotiation, and resolution.
- Handle claims routinely involving exposures of $500,000 or more, including complex coverage issues, catastrophic bodily injuries, personal and advertising injuries, and employment practices liability.
- Develop and execute detailed action plans designed to move cases toward timely and cost-effective resolution.
- Build strong working relationships with panel counsel and collaborate on efficient litigation strategies and approaches.
- Prepare and present large-loss reports for significant claims and exposures.
- Establish and maintain timely, accurate claim and expense reserves in accordance with established guidelines.
- Negotiate and communicate claim settlements within designated authority limits.
- Attend and participate in mediations, trials, and other litigation-related proceedings.
- Draft denial letters, Reservation of Rights letters, and other complex claims correspondence.
- Maintain an effective diary system and ensure all claim file activities are accurately documented and compliant with established procedures.
- Manage claim inventory to support timely resolution and appropriate prioritization of cases.
- Ensure claims are handled in accordance with applicable state regulations and requirements.
- Provide responsive, professional service to insureds, agents, internal stakeholders, and other customers.
- Complete required administrative activities, including document preparation, expense reporting, time-off reporting, and other assigned tasks.
- Identify opportunities to control litigation expenses while maintaining appropriate claim outcomes and service standards.
That's responsibilities.
Requirements list:
- Minimum of 10 years of experience handling significant litigation claims, including claims with exposures of $500,000 or more.
- Proven ability to identify and analyze coverage issues, conduct thorough investigations, assess exposure, establish appropriate reserves, and develop detailed claim action plans.
- Strong knowledge of tort and contract law.
- Demonstrated experience managing complex litigated claims and working effectively with defense counsel.
- Excellent negotiation, interpersonal, communication, and collaboration skills.
- Strong organizational and time-management abilities, with the capacity to manage multiple complex claims and competing priorities.
- Effective presentation skills, including the ability to communicate claim exposure, strategy, and recommendations clearly to stakeholders.
- Working knowledge of legal billing systems, claims management platforms, spreadsheets, word processing applications, and related business software.
- Self-directed and capable of working independently with limited supervision while exercising sound professional judgment.
- Active adjuster licenses in Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Tennessee, or the ability to obtain the required licenses within 90 days of hire.
- Bachelor’s degree preferred, or equivalent relevant professional experience.
- Ability to work effectively with internal and external stakeholders throughout the claims and litigation lifecycle.
- Ability to work in a role requiring strong attention to detail, regulatory compliance, documentation, and financial accuracy.
- Sponsorship is not offered for this role.
Qualifications: maybe education/license? Could treat Bachelor's degree preferred as qualification. Also licenses. But we already have license in requirements. Might move license to Qualifications. But we need to avoid duplication. We could put license under Qualifications, and keep other requirements under Requirements. However the instruction: "Use