Claims Specialist - Litigation
Core
Subject matter expert managing complex, high-exposure liability claims from investigation through resolution, including litigated cases, catastrophic injuries, and significant financial exposures.
Role type
Senior Claims Specialist - Litigation
Builds
Resolutions for high-exposure liability claims involving complex coverage matters and catastrophic injuries
Domain
Insurance / Litigation
Deliverable
client delivery
Required skills
Litigation claims management, coverage analysis, damage evaluation, reserving, negotiation, legal analysis, mediation participation, trial participation, large-loss reporting, regulatory compliance
Preferred skills
Active adjuster licenses in specific US states, knowledge of tort and contract law, legal billing systems proficiency
Technologies
Legal billing systems, claims management platforms, spreadsheets, word processing applications
Responsibilities
Manage litigated and complex liability claims through coverage analysis, investigation, damage evaluation, reserving, negotiation, and resolution; Handle claims with exposures of $500,000 or more including catastrophic bodily injuries; Develop and execute detailed action plans for timely and cost-effective resolution; Build strong working relationships with panel counsel and collaborate on litigation strategies; Prepare and present large-loss reports for significant claims; Establish and maintain timely, accurate claim and expense reserves; Negotiate and communicate claim settlements within designated authority limits; Attend and participate in mediations, trials, and other litigation-related proceedings; Draft denial letters, Reservation of Rights letters, and other complex claims correspondence; Manage claim inventory to support timely resolution and appropriate prioritization of cases; Ensure claims are handled in accordance with applicable state regulations and requirements; Identify opportunities to control litigation expenses while maintaining appropriate claim outcomes and service standards
Seniority
Senior, hands-on IC
