Top Claims Litigation Executive provides legal representation to the organization in insurance claims-related litigation. Provides legal advice to claims personnel. Being a Top Claims Litigation Executive leads a staff of internal attorneys and outside legal counsel. Tries large, complex cases as required and directs claims cases through litigation cycle. Additionally, Top Claims Litigation Executive consults with senior management to resolve issues and decide settlements. Must be admitted into the state bar. Acts as Attorney of Record. Requires a Juris Doctor degree from an accredited law school. Requires admittance to a state bar. Typically reports to top management. The Top Claims Litigation Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Claims Litigation Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
Sr. Complex Litigation Claims Specialist – Heavy Trucking Experience Needed
Work-From-Home
Comprehensive Benefits Package
• Medical, Dental, Life Insurance Effective on Start Date – no waiting period
Senior Complex Litigation Claims Specialist Needed for Premier Third-Party Administrator
Job Description:
Claim metrics must be kept current. Handle a caseload up to 100 pending claims that may include some levels of complexity. Requires establishing facts of loss, coverage analysis, investigation, compensability/liability/negligence determination, coordination of medical care (as appropriate), litigation management, damage assessment, settlement negotiations, identifying potential fraud and appropriate use of authorized vendors. Also includes timely and appropriate reserve analysis and report completion. Ability to attend conferences, client meetings, mentor other adjusters and assist management as requested. All file handling must be within state statutes, Client Claims Handling Guidelines and NARS Best Practices. Other miscellaneous duties as assigned, which may include travel.
Qualification Requirements:
Education / Licensing:
· High School Diploma or equivalent required, 2-year degree or higher, including law degree, preferred.
· 7 years of prior claim adjusting experience, preferably in the line of business being handled.
· Must have 7 years heavy litigation experience for all other lines except Worker’s Compensation
· Must have 5 years Construction Defect or similar/related experience if handling that line of business.
· Must be eligible for reserve/payment authority level of $50,000 when appropriate
· Must possess, or have the ability to obtain, a Florida Adjuster’s license or other required jurisdictional licensing.
Technical Skills:
· Requires ability to negotiate claims and to direct litigation.
· Must have interpersonal skills to handle sensitive and confidential situations and information.
· Requires ability to negotiate claims and to direct litigation.
· Must have negotiation and litigation skills for significant work with attorneys and arbitration on first and third- party claims.
· Requires ability to work independently.
· Requires organization and time management skills.
· Must possess written and verbal communication skills.
· Must be able to explain and appropriately respond to auditors, clients, and potential clients during in-person presentations.
Abilities:
· Requires long periods of sitting.
· Must be willing to attend local NARS office meetings, on occasion.
· Requires working indoors in environmentally controlled conditions.
· Requires lifting of files and boxes up to approximately 20 pounds.
· Repeated use of a keyboard, mouse, and exposure to computer screens.
· Requires travel for mediation, as assigned.
In the spirit of pay transparency we are excited to share the base salary for the position of Sr. Complex Litigation Claims Specialist is $80,000 - $130,000, exclusive of fringe benefits or potential bonuses. This position is also eligible for an annual performance raise if all guidelines are met. Your salary compensation will be determined based on factors such as geographic location, skills, education and or experience. In addition to those factors, we believe in the importance of pay equality and consider internal equality of our current team members as a final part of any offer. Please keep in mind that range mentioned above is full base salary range for the role. Hiring at maximum of the range would not be typical in order to allow future and continued salary growth. We also offer a generous compensation and benefits package.
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