Litigation Examiner

About the role

The Sr. Litigation Examiner handles an inventory of Directors & Officers, Fiduciary Liability (ERISA), Insurance Company E&O, Agents E&O, and Carrier & Agency EPLI Claims.

Responsibilities

• Assumes responsibility for claim files as assigned by VP‑Claims & CEO.
• Reviews claims as to coverage under NAMICO program policy.
• Issues Reservation of Rights letters and Coverage disclaimer letters, as appropriate.
• Reviews claims as to liability and formulates claim resolution strategy.
• Retains and manages defense counsel on all litigated claim files, including suit budgets, plan of action, hiring of outside investigators and/or experts, planning of discovery, and negotiation of claims.
• Retains coverage counsel on selected files to assist in determining NAMICO’s coverage position.
• Maintains diary on all assigned claims.
• Establishes, monitors, and changes claim reserves as appropriate.
• Reviews and evaluates files on an ongoing basis and revises claim resolution strategy, as required.
• Keeps senior management apprised of the status of all claims involving large loss reserves or proposed indemnity payments.
• Meets with appropriate parties, attends mediations, arbitrations, and trials.
• Resolves claims within authority, or obtains required authority from VP‑Claims & CEO.
• Prepares Loss Prevention or Claim Description articles for NAMICO/NIA publications on an as‑needed basis.
• Presents Loss Prevention Seminars at various state and association meetings as needed.
• Assists in marketing of applicable products and training seminars.
• Consults with underwriters on risk selection and policy revisions, and assists underwriters with coverage questions.
• Builds and maintains positive work relationships with management, staff members, and external contacts.
• Arrives to work on time and maintains a positive attendance record.
• Performs any other duties and projects as assigned.
• Initial file review, identification of coverage issues, reserving, retention of defense counsel and outside investigators, ongoing review, payment of service bills, and final claim resolution.
• Prepares loss prevention articles and/or delivers loss prevention seminars and programs as needed or assigned.

Qualifications

• Minimum of 5 years experience in personal lines insurance (property or liability) and/or commercial insurance lines (property or liability) claim handling.
• Experience in litigation management and/or professional liability claims.
• Ability to travel out of state regularly and occasionally to Canada.
• Juris Doctor preferred.
• Licensing in states where required, securing reciprocal licenses when available.
• Insurance certification/designations are encouraged.
• Familiarity of insurance contracts and industry trends.
• Strong knowledge of tort law, contract law, and liability concepts applicable to Professional Liability claims.
• Background in claims adjusting with litigation management experience.
• Effective public speaking skills on an as‑needed basis.
• In‑depth knowledge of liability policy language and coverage interpretation.
• Must have the ability to obtain a valid passport.
• Ability to successfully pass a criminal background check and possess an acceptable MVR.

Benefits

• Access to group medical, dental, and vision.
• Matched 401(k) plan.
• One paid day each year to volunteer with the charity of your choice.
• Generous paid vacation.
• More benefits as part of an excellent compensation and benefits package.