Manager, Litigation Operations - Injury Litigation (PIP/MedPay)

USAATampa, FL
$103,450 - $186,210Hybrid

About The Position

We are seeking a dedicated Manager Litigation Operations – Injury Litigation (PIP/MedPay). We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position must be based in our San Antonio, TX or Tampa, FL offices. Relocation assistance is not available for this position. As Manager Litigation Operations – Injury Litigation (PIP/MedPay) you will manage a team of assigned litigation professionals (direct handlers of active litigation against members) and will be responsible for workflow and administration of litigated cases, the development of employee technical skills and business acumen, and for evaluating employee performance. You will provide high-level technical advice and supervision on litigated cases and will be accountable for ensuring the delivery of a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy when defending our members in active lawsuits filed against them. You’ll be accountable for building out litigation and trial strategies with your teams to drive outcomes for each litigated case in accordance with the overall Claims Litigation Strategy and P&C Claims business objectives. You will drive execution of operational risk management, portfolio and case level litigation management and the adherence to regulatory compliance training, policies, and procedures. Accountable for delivering operational litigation results, including appropriate management of external legal expense, assigned defense counsel, case quality, and member service. Utilizing a thorough understanding of trial strategy, case law, and jurisdictional trends, accountable for identification of appropriate strategic resolution track, to include recommendation of cases to proceed through trial. Manages a team of claims litigation professionals and is responsible for the assignment of cases to litigation managers and to defense counsel and for ensuring quality, accuracy, and timeliness as they handle litigation based on applicable USAA Auto, Property and Small Business Insurance contracts. Utilizing data analytics, in partnership with actuary and analytics team and Claims Operations leaders, reports on team health to drive business results, manage litigation risk exposure, and assist leadership to determine what is necessary to ensure appropriate oversight and alignment with business objectives. Within authority limit, independently analyzes and helps support, investigate, negotiate, and resolve the highest severity and/or the most complex claims. Analyzes team member's proposed litigation strategies, including determinations of Requests for Authority, and reviews, creates action plans for and participates in case authority and strategy conferences on litigated cases. Management of USAA Staff Counsel and Panel Counsel and internal business partners to develop appropriate strategic litigation plans for' the teams' portfolio of cases and/or in individual cases as warranted through all stages of litigation to include partnering with counsel on impact of new case laws, emerging jurisdictional trends, and the legal environment. Accountable for reviewing, auditing, and approving legal expenses and fees and escalates as appropriate. Responsible for ensuring litigation documentation records are current, timely, and completed across the team. Responsible for developing, communicating, and training of new and revised policies and procedures that enable team members to be compliant with USAA standards, meet or exceed functional goals and objectives while providing excellent member service. Builds, develops, and leads a team through ongoing execution of recruiting, development, retention, coaching and support, performance management, and managerial activities. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

Requirements

  • Bachelor's degree; OR 4 years of relevant education and/or experience.
  • 6 years of operational or military experience, to include a minimum of 4 years of P&C experience in complex casualty claims handling.
  • 2 years direct claims litigation handling.
  • 2 years of direct team lead, supervisory, or management experience.
  • Demonstrated experience developing litigation strategy, negotiating, and settling complex P&C claims (to include large loss auto, property & commercial), and minimizing litigation exposure.
  • Demonstrated knowledge of P&C policies, application of case law and state laws and regulations to include regulatory compliance related to claims and claims litigation by venue and jurisdiction.
  • Demonstrated ability to build rapport and successful relationships with vendor law firms.
  • Excellent verbal and written communication skills to include communications to executive management.

Nice To Haves

  • 2+ years Auto Personal Injury Protection (PIP) and MedPay claims experience.
  • Claims and/or Litigation experience in MI, NJ, NY, FL.
  • Previous direct leadership experience.
  • Experience applying advanced knowledge to partner with Claims Operations and provide guidance for complex claim settlements that mitigate risk of litigation.
  • Experience developing and delivering targeted coaching at all levels within the Litigation and Injury Operations area for more effective lawsuit avoidance and litigation strategies.
  • Demonstrated experience proving guidance to team members on escalated complex claims issues.
  • US military experience through military service or a military spouse/domestic partner.

Responsibilities

  • Manage a team of assigned litigation professionals (direct handlers of active litigation against members).
  • Responsible for workflow and administration of litigated cases.
  • Responsible for the development of employee technical skills and business acumen.
  • Responsible for evaluating employee performance.
  • Provide high-level technical advice and supervision on litigated cases.
  • Ensure the delivery of a concierge level of best-in-class member service.
  • Build out litigation and trial strategies with teams to drive outcomes for each litigated case.
  • Drive execution of operational risk management, portfolio and case level litigation management.
  • Ensure adherence to regulatory compliance training, policies, and procedures.
  • Deliver operational litigation results, including appropriate management of external legal expense, assigned defense counsel, case quality, and member service.
  • Identify appropriate strategic resolution track, to include recommendation of cases to proceed through trial.
  • Manage a team of claims litigation professionals and is responsible for the assignment of cases to litigation managers and to defense counsel.
  • Ensure quality, accuracy, and timeliness as they handle litigation based on applicable USAA Auto, Property and Small Business Insurance contracts.
  • Utilize data analytics to report on team health to drive business results, manage litigation risk exposure, and assist leadership.
  • Independently analyze and support, investigate, negotiate, and resolve the highest severity and/or the most complex claims.
  • Analyze team member's proposed litigation strategies, including determinations of Requests for Authority.
  • Review, create action plans for and participate in case authority and strategy conferences on litigated cases.
  • Manage USAA Staff Counsel and Panel Counsel and internal business partners to develop appropriate strategic litigation plans.
  • Review, audit, and approve legal expenses and fees and escalate as appropriate.
  • Ensure litigation documentation records are current, timely, and completed across the team.
  • Develop, communicate, and train new and revised policies and procedures.
  • Build, develop, and lead a team through ongoing execution of recruiting, development, retention, coaching and support, performance management, and managerial activities.
  • Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled.

Benefits

  • Comprehensive medical, dental and vision plans
  • 401(k)
  • Pension
  • Life insurance
  • Parental benefits
  • Adoption assistance
  • Paid time off program with paid holidays
  • 16 paid volunteer hours
  • Various wellness programs
  • Career path planning
  • Continuing education
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