Senior Claims Representative - Legal

Primary responsibilities

• Handle suits on third party litigated claim files, including collaborating with and managing outside counsel and complex litigated claims files as assigned.
• Analyze coverage issues on litigated claim files and claim files with potential for litigation.
• Aid with negotiations, mediations, arbitrations, and settlement procedures as assigned.
• Attend and provide litigation advice in claim review meetings.
• Cook up coordination with AVP of Claims or VP of Claims on other litigated claims requests to outside counsel.
• Conduct legal research as necessary on pending suit files and as requested by other departments.
• Coordinate audits of litigated claims files.
• Research and write brief opinions on legal issues.
• Recommend reserve and payment changes as necessary for the file.
• Provide and report claims information to Senior Management on an as needed basis.
• Assist Forms Committee; propose changes/revisions/amendments to company policy forms, make appropriate policy language recommendations and draft policy language for new forms.

Qualifications

• Relevant combination of education and experience may be considered in lieu of degree.
• Bachelor Degree from a 4-year college or university.
• Juris Doctor degree Admission to the state bar preferred.
• Minimum of 5 years' experience adjusting commercial claims for an insurance carrier or an attorney experienced in litigating or handling insurance claims.