Jobs · Finance

Litigation Claims Examiner

Reserv · United States · 1 wk ago
RemoteRemoteFinanceFull-time
About Reserv Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you. About The Role We are seeking a skilled BI-LIT Claims Examiner to manage litigated files and attend trials, conferences, mediations, and arbitrations. The successful candidate will: Investigate and gather all necessary information and documentation related to claimsEvaluate liability and damagesNegotiate and settle claimsManage litigation cases related to auto claims disputes The BI-LIT Claims Examiner will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Claims Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements. Who you are Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.Passionate adjuster who cares about the customer and their experience.Empathetic. You exercise empathy and patience towards everyone you interact with. Sense of urgency - at all times. That does not mean working at all hours.Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest. Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution. Anti-status quo. You don’t just wish things were done differently, you action on it. Communicative. (we'd love to know what this means to you)And did we mention, a sense of humor. Claims are hard enough as it is. What We Need We need you to do all the things typical to the role: Managing legal aspects of litigated cases, including evaluation of legal process and expensesAnalyzing and reviewing auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providersManaging litigation cases related to auto claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholdersCollaborating with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industryReviewing legal documents and ensuring compliance with initial suit-handling plan of actionServing as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when neededAnalyzing policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing primarily litigated claim files from inception to closureDirecting and controlling the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjustersActive insurance adjuster’s license by way of a designated home state, or home state Requirements Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigationTransportation litigation (rideshare, auto, trucking, etc) is preferred but those with personal lines experience should still apply if they meet all other requirements.You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountableUnderstand transportation coverages. Understand contractual risk transfer and additional insured formsYou have strong medical knowledge You have a sense of urgency and understanding of how to manage time-sensitive demandsAbility and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional mannerStrong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counselKnowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelinesAbility to professionally collaborate with all stakeholders in a claimAttention to detail, time management, and the ability to work independently in a fast-paced, remote environmentCurious and motivated by problem solving and questioning the status quoDesire to engage in learning opportunities and continuous professional developmentWillingness to travel for client and claims needs Benefits Generous health-insurance package with nationwide coverage, vision, & dental401(k) retirement plan with employer matchingCompetitive PTO policy – we want our employees fresh, healthy, happy, and energized!Generous family leave policy after 8 months of continuous workWork from anywhere to facilitate your work life balanceApple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!

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