Senior Claims Representative - Legal

Overview

This role involves handling construction defect claims with a focus on litigation. Responsibilities include coverage analysis, collaboration with internal and external resources, managing outside counsel, and resolving claims in the best interest of insured parties.

Responsibilities

• Manage suits on third-party litigated claim files, including collaboration with and management of outside counsel.
• Analyze coverage issues on litigated claim files and those with potential for litigation.
• Assist with negotiations, mediations, arbitrations, and settlement procedures as assigned.
• Provide litigation advice during claim review meetings.
• Coordinate referrals for litigated claims with senior claims leadership.
• Conduct legal research on pending suit files and as requested by other departments.
• Audit litigated claims files.
• Review company policy forms and propose changes or amendments.
• Research and draft brief legal opinions.
• Recommend reserve and payment adjustments as necessary.
• Provide claims information reports to senior management as needed.
• Assist the Forms Committee by recommending and drafting policy language.
• Perform other duties and projects as assigned by General Counsel, Senior Claims Management, or Executive Management.

Requirements

• Bachelor’s degree from a 4-year college or university.
• Juris Doctor (JD) degree.
• Admission to the state bar preferred.
• Minimum of 5 years’ experience adjusting commercial claims for an insurance carrier or experience as an attorney handling or litigating insurance claims.

Skills and Abilities

• Excellent oral and written communication skills.
• Strong presentation and facilitation abilities.
• Ability to make competent, independent decisions.
• Skilled in analyzing coverage submissions and providing assistance.
• Ability to prioritize, organize, and plan work for self and others.
• Excellent customer service and superior problem-solving skills.
• Thorough knowledge of claim procedures, policies, and terminology.
• Proficient with Microsoft Office programs (Word, Excel, Outlook).
• Possession of applicable state adjusting license(s).
• Ability to handle files in good faith according to statute, case law, and corporate standards.
• Ability to travel as required.
• Professional interpersonal skills.
• Physical ability to sit, stand, walk, and lift up to 10 pounds.

Compensation

Estimated salary range: $82,900 to $138,800. Actual compensation depends on internal equity, candidate skills and experience, geographic location, market conditions, and other factors.

Additional Information

This job description outlines the general nature and level of work performed and is not an exhaustive list of all duties and skills required. Employment is at-will and does not constitute a contract.

Location

Not specified.