Claims Adjuster, Litigation

  The Litigation Adjuster is an advanced-level position responsible for managing and resolving moderate to highly complex, high-exposure litigated claims involving commercial auto claims. This role requires expertise in evaluating claims strategy, directing litigation in collaboration with defense counsel, developing claim resolution and desk management.

The ability to manage a challenging caseload with minimal supervision, exercise sound judgment, and deliver quality outcomes is critical to success in this role. This position will work closely with defense attorneys, medical providers, and internal stakeholders to ensure efficient and fair claim handling.

RESPONSIBILITIES

• Manage caseload of complex, high-exposure litigated claims across multiple jurisdictions.
• Proficiently and proactively handle the claim file through various phases of litigation.
• Properly document claims files.
• Review police reports, legal and medical bills, etc.
• Set Reserves and draft Reservation of Rights letters
• Directs defense counsel’s strategies, works with counsel to acquire appropriate paper discovery, determine necessary depositions, and retains experts.
• Works with defense counsel on high exposure and/or claims in litigation to achieve favorable outcomes.
• Monitors defense counsel’s compliance with the Company’s Litigation guidelines.
• Investigates any coverage issues and work towards a resolve.
• Participate in mediations and settlement conferences.
• Confidently negotiate claims to fairly resolve pending inventory
• Responding to all demands timely.

 KNOWLEDGE, SKILLS, AND ABILITIES

• Knowledge of coverage, liability, and complex claims handling procedures.
• Excellent business judgment.
• Strong interpersonal skills and highly collaborative with strong ability to build relationships, gain credibility, and partner across functions to build consensus.
• Confident and flexible to operate in a fast-paced, constantly evolving environment.
• Embody the highest standards of integrity, ethics, and accountability.
• Strong verbal and written communication skills with the ability to clearly articulate coverage determinations.
• Time management skills with the ability to manage multiple priorities with an attention to detail, data and analytics

EDUCATION/EXPERIENCE

• High school diploma, bachelor’s degree preferred.
• 10 or more years of Commercial Auto Insurance Claims Handling experience with a focus on litigation.
• Appropriately licensed and/or certified in all states in which claims are being handled.