Casualty Claims Attorney

2 months ago

Dublin, United States Universal Shield Insurance Group Full time
Casualty Claims Attorney:

A Claims Attorney specializes in managing insurance claims and disputes, with expertise in reviewing insurance policies, contracts, and related documents to assess coverage, liability, and damages. This role requires strong negotiation skills and a focus on resolving claims efficiently. The Claims Attorney does not represent the insured or the company in legal proceedings but plays a crucial role in evaluating and facilitating the resolution of claims.

Skills/Abilities:
  • Investigate, evaluate and resolve non-litigated and litigated casualty claims in accordance with company policies and procedures.
  • Review and analyze insurance policies, contracts, and other documents to determine coverage. Write and issue appropriate coverage letters, with input and approval from management and/or coverage counsel.
  • Conduct timely and thorough investigations either directly or by use of an independent adjuster, gather evidence and prepare reports in support of claim decisions.
  • Analyze and determine liability, damages and value of the claim.
  • Exercise independent decision making with minimal supervision, using knowledge of applicable codes, laws, standards and regulations.
  • Analyze and timely establish appropriate reserves for both loss and expenses and adjust reserves timely as needed.
  • Assign appropriate counsel for the defense of the insured, when needed, and work collaboratively with assigned counsel to establish a budget and a strategy for management of the claim.
  • Negotiate with claimants, their counsel or other carriers to reach an appropriate resolution of the claim.
  • Attend court procedures, including hearings, mediations or trials as needed.
  • Resolve claims through negotiation, mediation or trial.
  • Identify and report all suspected fraud to internal or external SIU experts.
  • Abide by all state claim handling regulations and best practices.
  • Obtain all closing documents and close claim file.
  • Respond to insureds and third parties promptly, courteously and professionally.
  • Communicate the status of claims to insureds in a timely manner and work to resolve problems or concerns as they arise.
  • Maintain accurate and complete claim files, ensure information is current and manage diaries/activities for assigned claims.
  • Keep management and the underwriting department apprised of developments and emerging trends.
  • Handle special projects as assigned.

Qualifications and Educational Requirements:
  • Juris Doctor (JD) degree from an accredited law school.
  • License to practice law.
  • Knowledge, experience and understanding of civil liability and litigation with a minimum of 3 years of handling civil matters.
  • Adjuster license or ability to obtain licenses within 3 months of hire.


About Universal Shield Insurance Group:

Guided by an entrepreneurial spirit, Universal Fire & Casualty Insurance Company (UFCIC) is a hybrid property and casualty insurer and insurtech that provides innovative insurance solutions to underserved markets for small businesses. Via online state-of-the-art agency portals and direct to consumer retail (B2C) and business to business (B2B) websites, we design our products intuitively and device agnostic to accelerate competitive underwriting decisions for our partners and customers.UFCIC targets property and casualty insurance for small businesses that are managed in such a way that they deserve to qualify for, and enjoy, the additional advantages in security and coverage offered by an admitted product. While the surplus market, as a last resort channel, can provide a reduced coverage form at a higher price, UFCIC turns this dynamic upside down. Via a higher standard of acceptance, expert underwriting rules, advanced analytics, machine learning, and external data sources to supplement standard risk information, the majority of UFCIC’s target business can “graduate” from the surplus lines and be provided with a superior coverage form in the admitted marketplace. For those risks that necessitate the surplus market, our company uses our E&S carrier, Shield Indemnity, for risk placement.UFCIC also serves the specialty surety bond marketplace by providing a variety of proprietary, cutting-edge, and competitively priced surety products available through efficient direct and agent based technology enabled portals. Via UFCBonds.com (B2C), customers can buy License and Permit bonds direct, as well as other types of surety bonds, with zero commissions and fees – savings are up to 25% compared to online agency based surety bond platforms. For business to business (B2B), our BondRamp.com platform serves our distributors for surety bond placement. Additionally, UFCBonds.com and BondRamp.com issue most bonds instantly and are available 24x7x365 and accessible by computer, tablet, or mobile device.UFCIC is part of the Universal Shield Insurance Group (www.universalshield.com). Universal Shield is composed of Universal Fire & Casualty Insurance Company (www.ufcic.com) - an admitted carrier - and Shield Indemnity Inc. (shieldindemnity.com) - an excess and surplus carrier.

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