Litigation Specialist

3 weeks ago


De Witt, United States PMA Insurance Group Full time

Investigates, evaluates and resolves complex and litigated Commercial Automobile and General Liability claims for a large self-insured dedicated client. Provide a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with client, company and regulatory guidelines. This position is typically assigned claims of highest loss exposures, more difficult coverage and excess issues and includes a diary of predominantly litigated professional liability losses.

Responsibilities:

* Promptly investigates all assigned claims for coverage, liability assessment, damages evaluation and subrogation/contribution potential. Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
* Within granted authority, establishes appropriate loss and expense reserves with documented rationale. Maintains and adjusts reserves over the life of the claim to reflect changes in exposure. Notifies appropriate claim management when exposure exceeds authority. Negotiates claims resolution within granted authority.
* Establishes and executes appropriate action plans for claim resolution including loss cost management while achieving appropriate financial balance between allocated expense and loss outcome.
* Comply with Special Handling Guidelines of Client.
* Works collaboratively with multiple internal and external professionals and business partners in investigating and reaching appropriate disposition of all claims.
* Selects and manages service vendors in accordance with company and client special handling guidelines.
* Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements.
* Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
* Communicates effectively with internal and external customers on claims and account issues.
* Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims.
* Effectively manage litigation process and defense counsel to ensure timely and cost effective outcomes.
* Participates with client in the management of their litigation management program.
* Potential regional travel for attendance at depositions, mediations and trials.
* Prepare and submits claim status and excess reports to client and their excess carrier(s).
* Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.