Senior Claims Specialist - Litigation

About the Role

The Sr. Claims Specialist is a Subject Matter Expert responsible for the quality handling and resolution of complex, high exposure liability claims in a timely and professional manner, with an emphasis on providing quality service while controlling expenses. This position routinely handles claims involving complex coverage issues, catastrophic bodily injuries, personal and advertising injuries, and employment practices liability. Exposures are routinely reserved greater than $500,000.

Responsibilities

• Appropriately manage litigated and other complex or high exposure claims through coverage analysis, investigation, damage evaluation, reserving, and resolution.
• Develop positive business relationships with panel counsel and work closely with them to develop cost-efficient approaches to the litigation process and create action plans to manage cases to early conclusion.
• Prepare and present large loss reports.
• Establish timely and accurate claim and expense reserves.
• Negotiate and convey claim settlements within authority limits.
• Attend mediations and trials.
• Write denial letters, Reservation of Rights, and other complex correspondence.
• Maintain an effective diary system and document claim file activities in accordance with established procedures.
• Manage file inventory to ensure timely resolution of cases.
• Handle files in compliance with state regulations.
• Provide excellent customer service to meet the needs of the insured, agent, and all other internal and external customers.
• Perform administrative functions such as document preparation, expense accounts, time off reporting, etc., as required.
• Perform other duties as assigned.

Qualifications

• Minimum of 10 years’ experience handling significant litigation claims with exposure of $500,000 or more.
• Proven ability to identify and address coverage issues, complete investigations to determine exposure, set timely reserves, and develop detailed action plans.
• Excellent interpersonal, communication, and collaboration skills.
• Excellent negotiation, time management, and organizational skills.
• Knowledge of tort and contract law.
• Effective presentation skills.
• Working knowledge of legal billing software, claim systems, spreadsheet, and word processing software applications.
• Self-directed with the ability to work independently under limited supervision.
• Adjusters’ licenses for states of: AL, GA, MS, NC, SC & TN and/or ability to obtain within 90 days of hire.

Education

BA/BS degree preferred or equivalent work experience.

Pay

Base Salary Range: $77,000-$144,000. Eligible to participate in annual discretionary bonus.

Benefits

• Health, Dental, Vision, Life, Disability, Wellness
• Paid Time Off
• 401(k) and Profit-Sharing plans

Schedule

Remote work may be considered for highly qualified candidates who do not reside within commuting distance of a Berkley Southeast office in Lawrenceville, GA, Charlotte, NC, Nashville, TN, Birmingham, AL, or Meridian, MS.

Location: Lawrenceville, GA