Analysis Skills, Apple, Claims Management, Claims Processing, Conferences, Detail Oriented, Diversity, Documentation, File Maintenance, Insurance, Language Interpreter, Laptop PC, Leadership, Legal, Legal Documents, Litigation, Maintain Compliance, Medical Terminology, Negotiation Skills, Performance Analysis, Policy Analysis, Process Analysis, Process Improvement, Product Engineering, Quality Monitoring, Regulations, Reimbursement, Risk, State Laws and Regulations, Strategic Planning, Team Lead/Manager, Time Management, Training/Teaching, Writing Skills
About the role
We seek a skilled Major Case Unit claims professional to investigate and resolve Reserv's most complex and catastrophic claims. Potential to attend trials, settlement conferences, mediations, and arbitrations. Responsible for the handling of all aspects of the claim assigned, including reserving, communication, documentation, litigation management, evaluation, and negotiation. Additionally, another responsibility would be to participate in and coordinate training in the handling of complex claim matters and projects requiring advanced claim knowledge and experience.
The Major Case Unit Specialist will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Major Case Unit Team Lead. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
What you'll do
- Managing legal aspects of complex, high value cases, including evaluation of legal process and expenses
- Analyzing and reviewing commercial auto and transportation claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties.
- Managing litigation cases related to claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims professionals, attorneys, and other stakeholders
- Collaborating with defense counsel, claims counsel, and claims leadership for strategic planning, including fostering and maintaining positive working relationships with approved defense firms and other vendors in the industry
- Reviewing legal documents and ensuring compliance with litigation management guidelines.
- Analyzing and interpreting policy language and reaching appropriate coverage decisions, drafting complex coverage correspondence and proactively managing primarily litigated claim files from inception to closure
- Directing and controlling the activities and costs of outside vendors including defense counsel, coverage counsel, experts and independent adjusters
- Maintaining adjuster licenses and continuing education requirements
Qualifications
- Active insurance adjuster's license by way of a designated home state; home state license required if home state license is available
- Willing to obtain all licenses within 60 days, including completing state required testing
- 12+ years of claim handling experience, with 7+ of those years handling a pending of >60% in litigation
- Understand transportation coverages. Understand contractual risk transfer and additional insured forms
- You have strong understanding of medical terminology
- You have a sense of urgency and understanding of how to manage time-sensitive demands and documents.
- Strong analytical and negotiation skills with the ability to drive the negotiations to desired outcomes.
- Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
- Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment
Benefits
- Generous health-insurance package with nationwide coverage, vision, & dental
- 401(k) retirement plan with employer matching
- Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
- Generous family leave policy after 8 months of continuous work
- Work from anywhere to facilitate your work life balance
- Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
- Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
- Work toward reducing and eliminating all the administrative work from an adjuster role
- Foster a culture of empathy, transparency, and empowerment in a remote-first environment
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!