Senior Liability Litigation Specialist - Morristown, NJ
$94.4k - $155.8kMilitary Spouse Corporate Career Network
Opportunity Under general supervision, this position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability Bodily Injury and Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution), maintaining full compliance with internal and external quality standards and state specific regulations. Provides consulting and training resources, and serves as a contact and technical resource to the field and our business partners. This job does not manage staff. This role is eligible for a sign on bonus. Responsibilities Directly handle assigned severity claims. Provide quality customer service and ensure timely coverage analysis and communication with insured based on application of policy information to facts or allegations of each case. Consult with Manager on use of Claim Coverage Counsel as needed. Investigate each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Interview witnesses and stakeholders; take necessary statements, as strategically appropriate. Engage in identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as subrogation, risk control, nurse consultants, and fire or fraud investigators, and other experts. Verify the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation. Maintain claim files and document claim file activities in accordance with established procedures. Utilize evaluation documentation tools in accordance with department guidelines. Proactively create Claim File Analysis (CFA) for adherence to quality standards. Utilize diary management system to ensure that all claims are handled timely. At required time intervals, evaluate liability & damages exposure. Establish and maintain proper indemnity and expense reserves. Recommend appropriate cases for discussion at roundtable. Attend and/or present at roundtables/authority discussions for collaboration of technical expertise resulting in improved payout on indemnity and expense. Share experience and knowledge of creative resolution techniques to improve the claim results of others. Apply the Company's claim quality management protocols and Best Practices to all claims; document the rationale for any departure from applicable protocols with or without assistance. Develop and employ creative resolution strategies. Be responsible for prompt and proper disposition of all claims within delegated authority. Negotiate disposition of claims with insureds and claimants or their legal representatives. Recognize and implement alternate means of resolution. Manage litigated claims, develop litigation plan with staff or panel counsel, including discovery and legal expenses, to assure effective resolution and to satisfy customers. Apply litigation management through the selection of counsel, evaluation and direction of claim and litigation strategy. Track and control legal expenses to assure cost‑effective resolution. Effectively and efficiently manage both allocated and unallocated loss adjustment expenses. Perform other duties as assigned. Compensation The annual base salary range for this position is $94,400.00 - $155,800.00 and may be adjusted based on factors such as scope, complexity, location, skills, education and experience. Employees are eligible for performance-based cash incentive awards. Target opening: 1 Ideal Candidate Qualities Bachelor's Degree. Advanced level knowledge in coverage, contract interpretation, liability and damages analysis, and a thorough understanding of the litigation process, relevant case and statutory law and expert litigation management skills. Extensive claim and/or legal experience and technical expertise to evaluate severe and complex claims. Ability to make independent decisions on most assigned cases without involvement of supervisor. Thorough understanding of business line products, policy language, exclusions, ISO forms, and effective claims handling practices. Advanced analytical thinking, judgment/decision making, communication, negotiation, insurance contract knowledge, principles of investigation, value determination, settlement techniques, legal knowledge. Intermediate medical knowledge. Must-Haves High School Degree or GED. 3 years of liability claim handling experience and/or comparable litigation claim experience. Obtain and maintain required Insurance License(s) within three months of starting the job (may be required where applicable). #J-18808-Ljbffr Military Spouse Corporate Career Network
$94.4k - $155.8k
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