Senior Coverage Attorney
Encova Insurance · United States · 1 mo ago
RemoteRemoteLegalFull-time
We need to output HTML fragment with sections: headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. No job title heading. No Job ID etc. Remove boilerplate like referral instructions, EEO, etc. Must preserve all substantive information.
We need to parse the posting.
Key content:
- Job title: Senior Coverage Attorney (business title: Senior Claims Coverage & General Counselor). Not needed as heading.
- Location: remote, home-based or hybrid from Columbus, Ohio office. Candidates working remotely must reside in one of the approved payroll states listed. List of states: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
- Job Objective: description.
- Essential Functions: list of many bullet-like sentences.
- Other Functions: list.
- Knowledge, Skills & Abilities: list of requirements.
- Benefits: list of benefits.
- Pay: not mentioned explicitly. No pay info. So we should NOT include Pay section.
- Schedule: not mentioned explicitly (maybe remote/hybrid). Could be considered schedule? The posting mentions remote/home-based or hybrid basis. That's work arrangement, not schedule. The instruction: include Schedule section only if posting actually states them. It does not state schedule like full-time, part-time, hours. So we should not include Schedule.
- About the role: maybe we can use "About the role" heading for job objective and location? The instruction: use
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. No job title heading. No Job ID etc. Remove boilerplate like referral instructions, EEO, etc. Must preserve all substantive information.
We need to parse the posting.
Key content:
- Job title: Senior Coverage Attorney (business title: Senior Claims Coverage & General Counselor). Not needed as heading.
- Location: remote, home-based or hybrid from Columbus, Ohio office. Candidates working remotely must reside in one of the approved payroll states listed. List of states: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
- Job Objective: description.
- Essential Functions: list of many bullet-like sentences.
- Other Functions: list.
- Knowledge, Skills & Abilities: list of requirements.
- Benefits: list of benefits.
- Pay: not mentioned explicitly. No pay info. So we should NOT include Pay section.
- Schedule: not mentioned explicitly (maybe remote/hybrid). Could be considered schedule? The posting mentions remote/home-based or hybrid basis. That's work arrangement, not schedule. The instruction: include Schedule section only if posting actually states them. It does not state schedule like full-time, part-time, hours. So we should not include Schedule.
- About the role: maybe we can use "About the role" heading for job objective and location? The instruction: use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can create sections: About the role (includes job objective and location), Responsibilities (essential functions + other functions), Requirements (knowledge, skills & abilities), Qualifications (maybe overlapping with requirements? but we can combine). However we must not create thin sections. Better to have: About the role, Responsibilities, Requirements, Benefits. Possibly also Qualifications if distinct. But the posting has "Knowledge, Skills & Abilities" which is essentially requirements. Could treat as Requirements. Could also have Qualifications for education/license etc. But we can combine.
We need to preserve all substantive information. So we need to include location, list of states, job objective, essential functions, other functions, knowledge/skills/abilities, benefits.
We must not include referral instructions, EEO, etc.
We need to format lists with - . For prose use
.
We need to avoid repeating job title as heading.
Let's craft:
About the role
Senior Coverage Attorney (business title: Senior Claims Coverage & General Counselor) – remote, home‑based or hybrid from the Columbus, Ohio office. Remote candidates must reside in one of the approved payroll states: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
Job Objective: The Senior Claims Coverage & General Counselor serves as the Claims organization’s senior legal and technical resource for insurance coverage, claim handling practices, coverage litigation, regulatory matters, extra‑contractual exposure, legal process support, and emerging legal issues. The role provides practical guidance across all lines of business to promote timely, consistent, and technically sound claim decisions and outcomes. Partnering with Claims leadership, Legal, Underwriting, and outside counsel, this position strengthens coverage expertise and claim quality; supports product development and regulatory response; manages significant coverage disputes and related legal expense; and reduces appropriate reliance on outside coverage counsel. The role complements the Legal Department by providing claim‑focused coverage, regulatory, and technical expertise within Claims, while coordinating and escalating matters requiring enterprise legal advice, company representation, privilege oversight, or Legal Department ownership.
Then Responsibilities: combine Essential Functions and Other Functions.
We could split into two subheadings? But only allowed headings from list. Could use Responsibilities for essential functions, and maybe Other Functions could be included under Responsibilities as well. We'll just put all under Responsibilities.
We'll create - for each bullet. Need to break sentences into list items. There are many sentences; we can keep each sentence as a list item.
Essential Functions list (starting with "Provide timely legal and technical guidance..." etc). We'll extract each sentence separated by period.
Let's copy essential functions sentences:
1. Provide timely legal and technical guidance on complex commercial and personal lines coverage matters, balancing applicable law, fair claim handling, and business considerations.
2. Analyze policy language, endorsements, exclusions, claim facts, and applicable law; guide coverage investigations; prepare coverage opinions and related legal analyses; and review coverage communications.
3. Advise Claims leadership on dispute-resolution approaches, extra-contractual exposure, bad-faith allegations, claim handling concerns, and other legal risks affecting claim outcomes.
4. Serve as Claims’ senior technical resource for significant coverage litigation and declaratory judgment actions.
5. Partner with Claims leadership, Legal, and outside counsel to develop and execute litigation and resolution strategies, including pleadings, discovery, mediation, settlement, budgets, and trial preparation.
6. Evaluate outside counsel performance and legal expense to improve outcomes, reduce duplication, and manage allocated loss adjustment expense.
7. Guide Claims responses to Department of Insurance complaints, regulatory inquiries, coverage disputes, market conduct examinations, and other regulatory reviews involving Claims operations.
8. Support responses to subpoenas, records and discovery requests, and other legal process involving claim files; coordinate with Legal on matters requiring enterprise advice, company representation, privilege oversight, or Legal Department ownership.
9. Monitor regulatory developments and claim handling requirements, and develop guidance and training to promote compliance and consistent practices.
10. Promote consistent, technically sound coverage positions and claim handling practices across all lines of business.
11. Participate in roundtables addressing complex coverage, exposure evaluation, litigation strategy, reserving, settlement authority, and claim handling issues.
12. Assist in the development and maintenance of claim handling best practices, technical standards, coverage guidance, templates, and playbooks.
13. Identify recurring coverage issues, legal and regulatory developments, and claim trends requiring guidance, training, escalation, or operational change.
14. Support quality assurance and file reviews focused on coverage analysis, judgment, documentation, and decision-making, and serve as a trusted advisor to Claims leaders and professionals.
15. Partner with Claims leadership to identify technical development needs and incorporate lessons from coverage matters, litigation, complaints, and regulatory reviews into training.
16. Develop and deliver technical training, coverage resources, and learning tools; mentor claims professionals and leaders to strengthen expertise and judgment in coverage analysis, claim handling, regulatory requirements, extra-contractual risk, and emerging legal issues.
17. Monitor judicial, regulatory, legislative, and industry developments affecting insurance coverage and claim handling, and advise Claims leadership on legal, operational, and risk management implications.
18. Partner with Legal on matters requiring coordination, escalation, enterprise legal guidance, or broader risk management consideration.
19. Partner with Underwriting and Legal to share claim-based insights and emerging loss trends; evaluate proposed policy language, endorsements, and coverage provisions; and recommend appropriate product or policy modifications.
20. Support Claims initiatives involving new tools, processes, or workflows where coverage interpretation, legal risk, regulatory requirements, or claim handling standards are implicated.
21. Handle appropriate coverage opinions, legal research, correspondence, and claim-related consultation internally to reduce reliance on outside coverage counsel.
22. Establish referral criteria for outside coverage counsel and Legal Department involvement, and maintain effective relationships with legal service providers.
23. Evaluate law firm performance, staffing, strategy, budgets, results, and legal spend to improve outcomes, reduce duplication, and manage allocated loss adjustment expense.
24. Partner with Claims leadership and Reinsurance stakeholders on significant losses, coverage issues, treaty interpretation, reporting obligations, recoverability considerations, and matters affecting reinsurer relationships.
Other Functions list:
1. Attend mediations, arbitrations, depositions, trials, regulatory meetings, and other proceedings as appropriate.
2. Represent Claims on cross-functional committees, projects, and strategic initiatives.
3. Participate in industry conferences, professional organizations, and continuing legal education activities.
4. Perform other duties as assigned.
We'll combine all into one list under Responsibilities.
Now Requirements/Knowledge, Skills & Abilities:
List items:
- Juris Doctor degree from an accredited law school is required.
- Active license to practice law in at least one U.S. jurisdiction and in good standing is required.
- CPCU, AIC, SCLA, or other relevant insurance industry designations are helpful.
- Minimum of 10 years of experience involving insurance coverage analysis, insurance litigation, claim-related legal support, or comparable property and casualty insurance experience is required.
- Extensive knowledge of commercial and personal lines insurance coverage, policy interpretation, and claim handling practices is required.
- Multi-line experience involving commercial auto, general liability, property, workers’ compensation, personal lines, umbrella, professional liability, or specialty coverages is preferred.
- Experience serving as coverage counsel, claims counsel, claim center general counselor, or in a similar role is strongly preferred.
- Demonstrated experience preparing coverage opinions, reservation of rights letters, denial letters, and other coverage-related communications is required.
- Strong knowledge of coverage litigation, declaratory judgment actions, extra-contractual and bad-faith exposure, and applicable claim handling requirements is required.
- Knowledge of insurance regulatory matters, and legal processes including responding to Department of Insurance complaints, market conduct examinations, and subpoenas is required.
- Experience managing outside counsel, coverage litigation, and legal spending is preferred.
- Experience supporting underwriting or product teams in policy wording, endorsement development, or product review is preferred.
- Knowledge of reinsurance principles, reporting obligations, treaty interpretation, and recoverability considerations is preferred.
- Exceptional legal research, analytical, writing, communication, and presentation skills.
- Ability to translate complex legal and regulatory issues into clear, practical guidance for claims professionals and business leaders.
- Demonstrated ability to influence decisions, exercise sound judgment, and build effective partnerships across organizational levels and functions.
- Ability to manage multiple complex matters, prioritize effectively, and provide timely guidance in a fast-paced claims environment.
- Ability to handle confidential, sensitive, and potentially privileged matters with appropriate discretion and escalation.
- Experience developing and delivering technical training for claims professionals and leaders is preferred.
We could also include Qualifications section for education/license etc. But we can keep as Requirements.
Now Benefits:
List:
- Health, Dental & Vision Insurance
- Company-provided life and income protection plans
- Eligibility to participate in a company incentive bonus program
- 401(k) Retirement Plan - 100% company match up to 7% on annual salary
- Paid Time Off, Paid Holidays, and Floating Holidays
- Flexible Work Arrangements - Hybrid and remote depending on the role
We should not include "Available benefits (subject to any policy or plan changes) include, but are not limited to:" as heading; just list.
Now we need to ensure we don't include any boilerplate like "This position has been evaluated in accordance with the Americans with Disabilities Act." etc. Remove.
Also remove "Ready to join our team?" etc. That's promotional but maybe considered substantive? It's more marketing; but we might keep as part of About the role? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. The promotional paragraphs about Encova's beliefs etc might be considered boilerplate? It's not legal/EEO but it's generic marketing. Might be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The promotional paragraph about "Ready to join our team?" is not explicitly listed but could be considered fluff. However it's part of the posting; but we might keep it as it's
- . For prose use
. We need to avoid repeating job title as heading. Let's craft:
About the role
Senior Coverage Attorney (business title: Senior Claims Coverage & General Counselor) – remote, home‑based or hybrid from the Columbus, Ohio office. Remote candidates must reside in one of the approved payroll states: Connecticut, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nebraska, New Hampshire, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia, Wisconsin.
Job Objective: The Senior Claims Coverage & General Counselor serves as the Claims organization’s senior legal and technical resource for insurance coverage, claim handling practices, coverage litigation, regulatory matters, extra‑contractual exposure, legal process support, and emerging legal issues. The role provides practical guidance across all lines of business to promote timely, consistent, and technically sound claim decisions and outcomes. Partnering with Claims leadership, Legal, Underwriting, and outside counsel, this position strengthens coverage expertise and claim quality; supports product development and regulatory response; manages significant coverage disputes and related legal expense; and reduces appropriate reliance on outside coverage counsel. The role complements the Legal Department by providing claim‑focused coverage, regulatory, and technical expertise within Claims, while coordinating and escalating matters requiring enterprise legal advice, company representation, privilege oversight, or Legal Department ownership.
Then Responsibilities: combine Essential Functions and Other Functions. We could split into two subheadings? But only allowed headings from list. Could use Responsibilities for essential functions, and maybe Other Functions could be included under Responsibilities as well. We'll just put all under Responsibilities. We'll create- for each bullet. Need to break sentences into list items. There are many sentences; we can keep each sentence as a list item. Essential Functions list (starting with "Provide timely legal and technical guidance..." etc). We'll extract each sentence separated by period. Let's copy essential functions sentences: 1. Provide timely legal and technical guidance on complex commercial and personal lines coverage matters, balancing applicable law, fair claim handling, and business considerations. 2. Analyze policy language, endorsements, exclusions, claim facts, and applicable law; guide coverage investigations; prepare coverage opinions and related legal analyses; and review coverage communications. 3. Advise Claims leadership on dispute-resolution approaches, extra-contractual exposure, bad-faith allegations, claim handling concerns, and other legal risks affecting claim outcomes. 4. Serve as Claims’ senior technical resource for significant coverage litigation and declaratory judgment actions. 5. Partner with Claims leadership, Legal, and outside counsel to develop and execute litigation and resolution strategies, including pleadings, discovery, mediation, settlement, budgets, and trial preparation. 6. Evaluate outside counsel performance and legal expense to improve outcomes, reduce duplication, and manage allocated loss adjustment expense. 7. Guide Claims responses to Department of Insurance complaints, regulatory inquiries, coverage disputes, market conduct examinations, and other regulatory reviews involving Claims operations. 8. Support responses to subpoenas, records and discovery requests, and other legal process involving claim files; coordinate with Legal on matters requiring enterprise advice, company representation, privilege oversight, or Legal Department ownership. 9. Monitor regulatory developments and claim handling requirements, and develop guidance and training to promote compliance and consistent practices. 10. Promote consistent, technically sound coverage positions and claim handling practices across all lines of business. 11. Participate in roundtables addressing complex coverage, exposure evaluation, litigation strategy, reserving, settlement authority, and claim handling issues. 12. Assist in the development and maintenance of claim handling best practices, technical standards, coverage guidance, templates, and playbooks. 13. Identify recurring coverage issues, legal and regulatory developments, and claim trends requiring guidance, training, escalation, or operational change. 14. Support quality assurance and file reviews focused on coverage analysis, judgment, documentation, and decision-making, and serve as a trusted advisor to Claims leaders and professionals. 15. Partner with Claims leadership to identify technical development needs and incorporate lessons from coverage matters, litigation, complaints, and regulatory reviews into training. 16. Develop and deliver technical training, coverage resources, and learning tools; mentor claims professionals and leaders to strengthen expertise and judgment in coverage analysis, claim handling, regulatory requirements, extra-contractual risk, and emerging legal issues. 17. Monitor judicial, regulatory, legislative, and industry developments affecting insurance coverage and claim handling, and advise Claims leadership on legal, operational, and risk management implications. 18. Partner with Legal on matters requiring coordination, escalation, enterprise legal guidance, or broader risk management consideration. 19. Partner with Underwriting and Legal to share claim-based insights and emerging loss trends; evaluate proposed policy language, endorsements, and coverage provisions; and recommend appropriate product or policy modifications. 20. Support Claims initiatives involving new tools, processes, or workflows where coverage interpretation, legal risk, regulatory requirements, or claim handling standards are implicated. 21. Handle appropriate coverage opinions, legal research, correspondence, and claim-related consultation internally to reduce reliance on outside coverage counsel. 22. Establish referral criteria for outside coverage counsel and Legal Department involvement, and maintain effective relationships with legal service providers. 23. Evaluate law firm performance, staffing, strategy, budgets, results, and legal spend to improve outcomes, reduce duplication, and manage allocated loss adjustment expense. 24. Partner with Claims leadership and Reinsurance stakeholders on significant losses, coverage issues, treaty interpretation, reporting obligations, recoverability considerations, and matters affecting reinsurer relationships. Other Functions list: 1. Attend mediations, arbitrations, depositions, trials, regulatory meetings, and other proceedings as appropriate. 2. Represent Claims on cross-functional committees, projects, and strategic initiatives. 3. Participate in industry conferences, professional organizations, and continuing legal education activities. 4. Perform other duties as assigned. We'll combine all into one list under Responsibilities. Now Requirements/Knowledge, Skills & Abilities: List items: - Juris Doctor degree from an accredited law school is required. - Active license to practice law in at least one U.S. jurisdiction and in good standing is required. - CPCU, AIC, SCLA, or other relevant insurance industry designations are helpful. - Minimum of 10 years of experience involving insurance coverage analysis, insurance litigation, claim-related legal support, or comparable property and casualty insurance experience is required. - Extensive knowledge of commercial and personal lines insurance coverage, policy interpretation, and claim handling practices is required. - Multi-line experience involving commercial auto, general liability, property, workers’ compensation, personal lines, umbrella, professional liability, or specialty coverages is preferred. - Experience serving as coverage counsel, claims counsel, claim center general counselor, or in a similar role is strongly preferred. - Demonstrated experience preparing coverage opinions, reservation of rights letters, denial letters, and other coverage-related communications is required. - Strong knowledge of coverage litigation, declaratory judgment actions, extra-contractual and bad-faith exposure, and applicable claim handling requirements is required. - Knowledge of insurance regulatory matters, and legal processes including responding to Department of Insurance complaints, market conduct examinations, and subpoenas is required. - Experience managing outside counsel, coverage litigation, and legal spending is preferred. - Experience supporting underwriting or product teams in policy wording, endorsement development, or product review is preferred. - Knowledge of reinsurance principles, reporting obligations, treaty interpretation, and recoverability considerations is preferred. - Exceptional legal research, analytical, writing, communication, and presentation skills. - Ability to translate complex legal and regulatory issues into clear, practical guidance for claims professionals and business leaders. - Demonstrated ability to influence decisions, exercise sound judgment, and build effective partnerships across organizational levels and functions. - Ability to manage multiple complex matters, prioritize effectively, and provide timely guidance in a fast-paced claims environment. - Ability to handle confidential, sensitive, and potentially privileged matters with appropriate discretion and escalation. - Experience developing and delivering technical training for claims professionals and leaders is preferred. We could also include Qualifications section for education/license etc. But we can keep as Requirements. Now Benefits: List: - Health, Dental & Vision Insurance - Company-provided life and income protection plans - Eligibility to participate in a company incentive bonus program - 401(k) Retirement Plan - 100% company match up to 7% on annual salary - Paid Time Off, Paid Holidays, and Floating Holidays - Flexible Work Arrangements - Hybrid and remote depending on the role We should not include "Available benefits (subject to any policy or plan changes) include, but are not limited to:" as heading; just list. Now we need to ensure we don't include any boilerplate like "This position has been evaluated in accordance with the Americans with Disabilities Act." etc. Remove. Also remove "Ready to join our team?" etc. That's promotional but maybe considered substantive? It's more marketing; but we might keep as part of About the role? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. The promotional paragraphs about Encova's beliefs etc might be considered boilerplate? It's not legal/EEO but it's generic marketing. Might be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The promotional paragraph about "Ready to join our team?" is not explicitly listed but could be considered fluff. However it's part of the posting; but we might keep it as it's