Large Loss & Litigation Claims Manager

About the role

Collaborates with Underwriting, Risk Control, and Marketing by providing feedback on claims trends.

Builds, maintains, and monitors key litigation metrics that drive strategic results that align closely with the pre-suit file handlers and management team in Claims.

Utilizes department key performance measures and audit results as a tool for coaching adjusters.

Maintains staff by recruiting, selecting, and training employees.

Develops staff by coaching, mentoring, training, and providing personal growth opportunities.

Provides staff with recommendations and actions to take when reviewing and analyzing damages, coverages, and liability issues.

Reviews department-related expenses for reasonableness and necessity.

Approves coverage counsel when needed and oversees training and development of House Counsel in being lead defense on cases.

Identifies the best use for House Counsel and identifies metrics to evaluate performance.

Directs defense of policyholders, legal guidance for claim representatives and company legal needs, or industry legal involvement.

Conducts audits on large losses and suit files; creates an audit database that focuses on expense control methods and key skills and/or strategies needed for successful resolution of suit cases.

Manages litigation, processes and procedures, and vendor utilization and expense management.

Creates a review process of large exposure losses to ensure regular interaction with the claim representative and manager and ensures direction and strategy is clearly documented.

Provides Claims Director status updates of teams’ cases with resolution strategies and provides updates on all projects including hurdles and resource needs.

Provides legal updates and jury verdict results to Claim Managers on a quarterly basis.

Develops training programs and identifies expert speakers to address training needs of the department, and creates and educates department on litigation reduction programs.

Identifies, creates, and maintains monthly, quarterly, and annual reports needed by the Claims Director and department managers.

Responsibilities

• Collaborates with Underwriting, Risk Control, and Marketing by providing feedback on claims trends.
• Builds, maintains, and monitors key litigation metrics that drive strategic results that align closely with the pre-suit file handlers and management team in Claims.
• Utilizes department key performance measures and audit results as a tool for coaching adjusters.
• Maintains staff by recruiting, selecting, and training employees.
• Develops staff by coaching, mentoring, training, and providing personal growth opportunities.
• Provides staff with recommendations and actions to take when reviewing and analyzing damages, coverages, and liability issues.
• Reviews department-related expenses for reasonableness and necessity.
• Approves coverage counsel when needed and oversees training and development of House Counsel in being lead defense on cases.
• Identifies the best use for House Counsel and identifies metrics to evaluate performance.
• Directs defense of policyholders, legal guidance for claim representatives and company legal needs, or industry legal involvement.
• Conducts audits on large losses and suit files; creates an audit database that focuses on expense control methods and key skills and/or strategies needed for successful resolution of suit cases.
• Manages litigation, processes and procedures, and vendor utilization and expense management.
• Creates a review process of large exposure losses to ensure regular interaction with the claim representative and manager and ensures direction and strategy is clearly documented.
• Provides Claims Director status updates of teams’ cases with resolution strategies and provides updates on all projects including hurdles and resource needs.
• Provides legal updates and jury verdict results to Claim Managers on a quarterly basis.
• Develops training programs and identifies expert speakers to address training needs of the department, and creates and educates department on litigation reduction programs.
• Identifies, creates, and maintains monthly, quarterly, and annual reports needed by the Claims Director and department managers.

Requirements

• Bachelor's degree in business or related field and 10 years of experience in the direct handling of large loss and litigated files OR 14 years of experience in the direct handling of large losses, litigated files and/or large property claims including investigations of auto accidents, liability claims, and fire losses (cause-and-origin) and subrogation.
• Experience managing a team of claim representatives.
• Ability to obtain and maintain proper licensing prior to handling a state where Society requires it.
• Demonstrated commitment to ongoing professional development through on-the-job learning, insurance designations, seminars, conferences, or other relevant learning opportunities.
• Valid driver’s license and a satisfactory driving record.
• Strong organizational skills and excellent verbal and written communication skills.

Qualifications

• At least 5 years of experience managing a team of claims representatives highly desirable.

Skills

• Strong organizational skills and excellent verbal and written communication skills.

Benefits

• Comprehensive Benefits Package: Salary with bonus plan; health, dental, life, and vision insurance.
• Retirement: Traditional or Roth 401(k) Defined Contribution Plan PLUS Profit-Sharing Plan.
• Work-Life Balance: Company-paid holidays; flexible scheduling; PTO; telecommuting options.

Pay

TBD

Schedule

Flexible Scheduling Opportunities