Senior Claims Specialist - Litigation

Accountabilities:

• Manage litigated and other complex, high-exposure liability claims through coverage analysis, investigation, damage evaluation, reserving, negotiation, and resolution.
• Handle claims involving complex coverage issues, catastrophic bodily injuries, personal and advertising injuries, and employment practices liability.
• Develop positive and effective working relationships with panel counsel and collaborate on cost-efficient litigation strategies.
• Work with counsel to develop detailed action plans focused on effective case management and early resolution where appropriate.
• Prepare and present large-loss reports for significant claims.
• Establish timely and accurate claim and expense reserves based on thorough exposure analysis.
• Negotiate and communicate claim settlements within established authority limits.
• Attend mediations and trials and actively participate in litigation-related proceedings.
• Draft denial letters, Reservation of Rights letters, and other complex claims correspondence.
• Maintain an effective diary system and ensure claim file activities are accurately documented according to established procedures.
• Manage assigned file inventory to support timely and appropriate resolution of claims.
• Ensure claims are handled in accordance with applicable state regulations and established procedures.
• Provide responsive and professional service to insureds, agents, counsel, and internal and external stakeholders.
• Complete required administrative activities, including document preparation, expense reporting, time-off reporting, and other operational tasks.
• Contribute expertise and guidance as a subject matter expert on complex claims matters.
• Perform additional responsibilities as required.

Requirements

• Minimum of 10 years of experience handling significant litigation claims with exposures of $500,000 or more.
• Demonstrated ability to identify and address complex coverage issues and conduct thorough investigations to determine liability and exposure.
• Proven experience establishing timely and accurate reserves and developing detailed action plans for complex claims.
• Strong knowledge of tort and contract law.
• Excellent negotiation skills with the ability to evaluate and resolve complex claims within appropriate authority limits.
• Strong interpersonal, written, verbal, and collaboration skills.
• Excellent time management, organizational, and prioritization abilities.
• Effective presentation skills, including the ability to communicate complex claims information clearly to different audiences.
• Working knowledge of legal billing software, claims management systems, spreadsheet applications, and word-processing software.
• Ability to work independently and exercise sound judgment with limited supervision.
• Strong attention to detail and commitment to accurate claims documentation and regulatory compliance.
• Adjuster licenses for Alabama, Georgia, Mississippi, North Carolina, South Carolina, and Tennessee, or the ability to obtain the required licenses within 90 days of hire.
• BA/BS degree preferred, or equivalent relevant professional experience.
• Ability to work from the designated office location or, for highly qualified candidates, remotely where permitted by business needs and location.
• Current work authorization in the United States; visa sponsorship is not offered for this role.

Benefits

• Base salary range of $77,000–$144,000, with actual compensation determined by factors including role scope, complexity, location, skills, education, training, credentials, experience, and other employment conditions.
• Eligibility to participate in an annual discretionary bonus.
• Health insurance benefits.
• Dental insurance.
• Vision coverage.
• Life insurance.
• Disability coverage.
• Wellness benefits.
• Paid time off.
• 401(k) plan.
• Profit-sharing plan.
• Full-time employment with a comprehensive benefits package.
• Remote work may be considered for highly qualified candidates who are not within commuting distance of an office in Lawrenceville, GA; Charlotte, NC; Nashville, TN; Birmingham, AL; or Meridian, MS.