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Job Details

Requisition Number 19-0128
Post Date 9/9/2019
Title Litigation Specialist
City Fort Wayne
State IN
Description POSITION DESCRIPTION

POSITION TITLE: Litigation Specialist

DEPARTMENT: Claims - Casualty

JOB SUMMARY
Responsible for effectively analyzing and resolving serious/complex casualty claims consistent with claims adjustment standards and company objectives. To advise claims personnel on legal issues relating to claims, and to communicate legal information to internal and external customers as directed. To complete assigned legal research projects in a timely and effective manner.

POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Identify and investigate coverage, liability, damage and reserve adequacy issues on assigned claims. Also, analyze and address insurance coverage issues and claims resolution strategies for others as needed.
Apply statutes, common law, and other applicable legal and regulatory concepts for the effective, efficient and equitable resolution of assigned casualty claims.
Communicate with policyholders, agents, claimants/claimant attorneys, medical providers and other persons as needed and direct independent adjusters, appraisers and other support service providers to ensure effective, efficient, and equitable claims resolution.
Acquire, record, and maintain all essential file documentation in accordance with established guidelines, including the timely provision of status reports or other updates as requested by management..
Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
Negotiate and resolve primarily serious/complex casualty claims within established settlement authority in a prompt, fair and equitable manner.
Contribute as requested to departmental or interdepartmental projects or processes that relate to the claims function, including regularly scheduled meetings involving collective decision making.
Travel as needed to attend training programs, mediations/other legal proceedings, and to conduct investigation relating to claims resolution.
Assist in the setting of initial reserves as requested.
Achieves Company objectives for Loss Adjustment Expense on assigned claim files.
Provides timely responses to claims personnel on legal research issues relating to claims.
Maintains individual pending count within level set by the Department.
Completes assigned projects within designated time limits and in accordance with project prioritization.
Ensures the security and accuracy of checks directly issued through the Claims processing system.
Complete other projects as assigned.
Requirements KNOWLEDGE, SKILLS, AND ABILITIES

The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Must be able to effectively communicate with others (both oral and written). Must be able to communicate complex coverage and legal concepts in both an oral and written format.
Must possess knowledge relating to tort, contract and insurance law. Must be able to conduct effective legal research.
Must have a thorough understanding of medical and legal issues related to casualty claims. Must have a thorough understanding of liability coverage issues.
Must be able to make independent decisions.
Must have good organizational and analytical skills.
Must have good interpersonal skills. Must have the ability to handle confrontational situations in a productive manner. Must possess strong negotiation skills and utilize them in the resolution of serious/complex claims.
Must be able to access, input and retrieve information from a computer.
Must have a thorough understanding of all automated Claim Department processing systems and workflows.
Must be able to train others on Claims Department policies, procedures and systems.
Should be able to sit for prolonged periods of time.
Effectively interface with external contacts, Brotherhood employees, managers, and department staff members.
Because the company’s niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations, and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche.


EDUCATION AND/OR EXPERIENCE

Must have a Bachelor’s degree and a JD degree.
Must be able to take and pass required adjuster licensing requirements.
Must have one to two years of general business, insurance or related experience
CPCU or other insurance-related course work would also be beneficial.
Member of at least one State Bar is desired.
Two years legal research and writing experience. Experience in investigation, customer service, and/or negotiation would be beneficial. Insurance knowledge would also be of benefit.




Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The employment relationship remains “at-will.”


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