Claims Counsel

May 26, 2022
Nationwide, Remote
Job Type


Job Description:
Senior-level legal department position to review reports provided by unit managers that have high potential or complex issues. Ability to attend round tables, and client meetings, mentor managers and adjusters, and assist management with analysis as requested. Ensure reports to the client’s oversight are of high quality and address all potential issues and adhere to Client Claims Handling Guidelines and NARS Best Practices. Reviews claims that are reported, and screens for claims that have high exposure that may not be reported to the appropriate level. Assists in the training and development of managers and adjusters. Provides technical direction in claims and facilitates reporting to internal and external customers, carriers, reinsurers, brokers, and agents. Oversees day-to-day administrative duties required within the claim’s units. Other miscellaneous duties as assigned, which may include travel.

Essential Duties and Responsibilities:
• Able to efficiently manage and/or oversee pending of at least 125 large or high potential claims.
• Provides insight, guidance, and suggestions involving the investigation, evaluation, defense, and settlement of claims.
• Ensure adherence to all file handling standards, NARS Best Practices, Client standards, state statutes, and requirements necessary to pass audits performed by regulatory agencies, carriers, and clients. Form well-written emails and LLRs internally and externally.
• Ensure that all files on the report are effectively handled; following processes set out by management and/or directed in client guidelines.
• Responsible for overseeing adequate reserving of claims, claim quality, and the efficient handling of files assigned to each unit reporting to the analyst.
• Participates, often leading, roundtables, leadership management meetings, training programs and contributes to their interactions and outcomes.
• Maintain appropriate diary on claims under review.
• Works with file handlers on an individual basis to ensure compliance with all state and regulatory reporting requirements in every jurisdiction serviced.
• Maintain and communicate legislative actions, court decisions, industry trends, and developments to the units in all lines of business serviced, as applicable.
• Provides feedback to unit managers and directors on the technical expertise and capabilities of the file handlers in all reporting units.
• Through technical direction, work to guarantee success in any program or work that comes to the organization.
• Provides information and suggestions to the directors for any programs handled by the branch.
• Perform other duties as assigned that may include, but are not limited to, providing audit support, research, marketing, or backup support for other areas within the organization (travel may be required).

Qualification Requirements:

Education / Licensing:
• Law Degree preferred, with 10+ years of litigation management experience.
• Must be eligible for reserve/payment authority level of $100,000+ (where client appropriate)
• Must possess, or have the ability to obtain, a current state of domicile adjuster’s license, as well as other required jurisdictional licensing.

Technical skills:
• Advanced legal/claims/analytical skills and ability to communicate them to others not under direct management supervision.
• High level of interpersonal skills to handle sensitive and confidential situations and information.
• Requires advanced technical skills and ability to assist Claims Unit Adjusters, Assistant Unit Managers and Unit Managers with claim direction and settlement negotiations with attorneys and arbitrators on first- and third-party claims.
• Requires advanced ability to work independently.
• Requires an advanced level of organization and time management skills.
• Must possess a superior level of written and verbal communication skills.
• Must be able to analyze claims data, explain and appropriately respond to auditors, clients, and potential clients during in-person or over-the-phone presentations.
• Advanced knowledge of a variety of computer software applications in word processing, database, and presentation software (Microsoft Office platform).
• Must be a proven leader to be able to synthesize information competently and present it to management, staff, and some external customers in either oral or written form.

• Requires long periods of sitting.
• If you live within 25 miles of an office, you will be required to commute and work out of that office.
• Requires working indoors in environmentally controlled conditions.
• Requires lifting of files and boxes up to approximately 20 pounds.
• Repeated use of a keyboard, mouse, and exposure to computer screens.
• Requires travel as assigned, which can at times be extensive (5 to 7 days per month).
• Requires some travel including overnight and weekends as needed.

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