Senior Claims Representative - Legal

The primary responsibilities of a Senior Claims Representative – Legal include handling negotiations on any and all claims assigned, understanding and verifying coverage, taking statements or interviews when necessary, coordinating referral of coverage requests, and assigning losses to defense firms and/or independent adjusters as necessary.   This position can be staffed as a remote work-from-home position or in one of our claim offices (Scottsdale, AZ; Westerville, OH; or Overland Park, KS).

ESSENTIAL DUTIES AND RESPONSIBILITIES 

• Conduct and coordinate loss investigations. 
• Analyze coverage issues on litigated claim files, claim files with potential for litigation. 
• Draft coverage correspondence, including reservation of rights and coverage disclaimer letters.
• Analyze, identify, and pursue risk transfer opportunities.
• Coordinate and manage defense of insureds on third-party litigated claim files, including collaborating with and managing outside counsel.
• Analyze liability exposure and establish appropriate reserves within authority, or provide recommendations for reserve increases above authority as necessary.
• Develop resolution strategy for litigated claims files.
• Attend mediations, arbitrations and trials as assigned.
• Attend and provide litigation advice in claim review meetings. 
• Conduct legal research as necessary on pending suit files and as requested by other departments. 
• Research and write brief opinions on legal issues. 
• Provide and report claims information to senior management on an as needed basis. 
• Participate in underwriting forms committee; propose changes/revisions/amendments to company policy forms. 
• Other duties as assigned. 

EDUCATION AND EXPERIENCE   

Relevant combination of education and experience may be considered in lieu of degree. 

• Bachelor’s degree from a 4-year college or university. 
• Juris doctor degree.
• Admission to the state bar preferred. 
• Minimum of 5 years’ experience adjusting commercial claims for an insurance car.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER SKILLS AND ABILITIES  

1. Excellent oral and written communication skills. 
2. Excellent presentation and facilitation skills. 
3. Ability to make competent, independent decisions. 
4. Strong coverage experience, including ability to analyze coverage and draft appropriate letters, with emphasis on Construction Defect exposures.
5. Ability to prioritize, organize and plan work for self and others. 
6. Excellent customer service skills. 
7. Excellent analytical skills and problem-solving ability. 
8. Thorough knowledge of claim procedures, policies, terminology, etc., including an in depth knowledge of Construction and Construction defect claims. 
9. Computer proficient with Microsoft Office programs, such as Teams, Word, Excel and Outlook, as well as claim management systems. 
10. Possess or ability to obtain state adjusting license(s) as applicable. 
11. Ability to handle assigned files in good faith as defined by statute, caselaw and corporate standards. 
12. Ability to travel as required. 
13. Ability to interact professionally with others.
14. Sit, stand/walk ambulatory.
15. Ability to lift 10 pounds.

ADDITIONAL INFORMATION 

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

WORKING CONDITIONS

Work is performed in an office setting with no unusual hazards. 

The qualifications listed above are intended to represent the minimal skills and experience levels associated with performing the duties and responsibilities contained in this position description. The qualifications should not be viewed as absolute standards, but as general guidelines that should be considered with other position-related criteria.

Pay Range - Actual compensation decision relies on the consideration of internal equity, candidate’s skills and professional experience, geographic location, market, and other potential factors. It is not standard practice for an offer to be at or near the top of the range, and therefore a reasonable estimate for this role is between  $79,300 and $132,800.

We