Claims Attorney

Brotherhood Mutual Careers•Fort Wayne, IN

17d•Onsite

About The Position

Effectively analyze and resolve serious/complex claims and/or litigation consistent with department standards and company objectives. Responsible to advise claims and other company personnel on legal issues relating to claims; communicate legal information to internal and external contacts as directed. Complete assigned legal research projects in a timely and effective manner.

Requirements

Demonstrate expertise in communicating complex coverage and legal concepts in both an oral and written format.
Possess knowledge relating to litigation and tort, contract, and insurance law.
Must be able to conduct effective legal research.
Must have a thorough understanding of pertinent coverage and complex legal issues related to claims.
Demonstrate strong organizational, analytical, prioritization, and time management skills.
Possess strong negotiation and resolution skills, utilizing them in the resolution of serious/complex claims and/or litigation.
Demonstrate a thorough understanding of all automated claim department processing systems, workflows, and the claims department policies and procedures.
Possess legal drafting skills.
Must be able to sit for prolonged periods of time.
Effectively interface with external contacts, Brotherhood employees, managers, and department staff members.
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.

Nice To Haves

CPCU or other insurance-related coursework is desired.
Member of at least one State Bar is desired.
Two years of legal research and writing experience are desired.
Experience in investigation, customer service, and/or negotiation fields is desired.
Familiarity with church operations and conduct themselves in a manner that will neither alienate nor offend persons within this target niche.

Responsibilities

Identify and investigate coverage, liability, damage, and possible exposure issues on claims.
Analyze and address insurance coverage issues and claims legal research issues and recommend claims resolution strategies.
Apply and/or provide guidance to claims personnel concerning the application of policy language, statutes, common law, and other applicable legal and regulatory concepts for effective, efficient, and equitable resolutions.
Communicate with policyholders, agents, adjusters, claimants/claimant attorneys, defense counsel, and other persons and entities as needed to ensure 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/or offer guidance regarding appropriate cost containment, loss mitigation, and subrogation recovery opportunities.
Negotiate and resolve serious/complex claims and/or litigation within established settlement authority in a prompt, fair and equitable manner.
Effectively and efficiently undertake routine legal document review and analysis and draft releases, coverage letters, and other claims-related documents for the claims department.
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 conduct claims-related investigations and attend training programs, mediations, trials, and other legal proceedings related to the resolution of serious/complex claims and/or litigation.
Understand the claims department’s reserving practices and offer guidance regarding reserving as needed.
Effectively, efficiently, and fairly bring serious/complex claims and/or litigation to resolution and achieve company objectives for Loss Adjustment Expense.
Ensure the security and accuracy of checks issued through the claims processing system.
Complete other projects as assigned.