Senior Technical Litigation Claims Specialist

Brookfield Wealth Solutions, Ltd•Omaha, NE

1d•Onsite

About The Position

Farm Family is seeking a highly capable Senior Technical Litigation Claims Specialist to join their team. This is a full-time, exempt position that requires working 100% in-office, five days a week, to foster culture, team connections, and profitability. The role reports to the VP of P&C Claims Litigation and is responsible for negotiating lawsuits and directing the activities of defense attorneys. This includes overseeing litigation strategy and actions for claims involving litigation and/or complex injuries, requiring advanced technical proficiency in investigation, coverage and exposure evaluation, negotiation, and resolution. The Senior Technical Litigation Claims Specialists contribute to providing superb results for clients.

Requirements

Advanced knowledge of managing litigated claims.
Exceptional customer service focus.
Juris Doctor from an accredited law school.
A minimum of 5 years’ managing litigated claims, including body injury experience in determining liability, negotiating settlements, reviewing estimates, and medical terminology.
Must be able to obtain necessary state licenses and maintain Continuing Education (CE) requirements.
Good business acumen (understanding how an insurance company works and makes money, and how the role impacts profitability).
Ability to regularly exercise discretion and independent judgment with respect to matters of significance.
Proven ability to consistently produce and deliver expected results to all stakeholders.
Ability to find a way to achieve success through adversity.
Solution-focused approach.
Global mindset.
Client focus – ability to determine specific client needs and provide value-added solutions.
Flexibility, ability to thrive in change, and resourcefulness in a fast-paced, evolving environment.
Ability to develop and maintain productive relationships with clients, business partners, and organizational peers.
Excellent communication skills and ability to build lasting relationships.
Effective time management skills and ability to prioritize workload while handling multiple tasks and deadlines.
Natural and intellectual curiosity to explore and consider all options.
Desire to work in a fast-paced environment.
Excellent evaluation and strategic skills.
Strong claim negotiation skills.
Ability to take a proactive and pragmatic approach to negotiation.
Demonstrates an understanding of mechanisms available for resolving claims settlement disputes (e.g., arbitration and mediation) and when these are used.
Ability to exercise sound judgment working under technical direction.
Demonstrates inner strength and courage to do the right thing.
Proficient in MS Office Suite and other business-related software.
Uses listening and questioning techniques to effectively gather information from insureds and claimants.
Polished and professional written and verbal communication skills.
Ability to read and write English fluently.
Desire for continued professional development through continuing education and self-development opportunities.

Nice To Haves

Insurance and/or litigation designations such as ACLA, AIC, CCLA, CPCU, FCLA, LPCS, PCLA, SCLA, etc.

Responsibilities

Adjudicate highly complex litigated claims under limited technical direction and within broad limits and authority, potentially with significant impact on departmental results.
Provide laser-focused customer service by delivering superior claims outcomes and developing meaningful connections with insureds and brokers.
Conduct in-depth reviews of coverage to determine the sufficiency of information for correct decision-making.
Complete in-depth reviews of investigations to evaluate sufficiency and ensure correct exposure assessment, verifying that the investigation supports the exposure analysis.
Coordinate litigation plans with defense counsel, ensuring cost-effectiveness and alignment with the insured's best interests.
Handle high severity multi-line litigation claims across all lines of business, including property, liability, first and third-party exposure cases, Errors and Omissions claims, Direct Action lawsuits, Commercial Agriculture and Construction Litigation, and Actions against the company for Extra Contractual Exposures.
Receive and handle claims from inception or transfer, review notices of loss to determine proper coverage, and establish/maintain proper reserves.
Conduct prompt and thorough investigations, including interviewing involved parties, to properly evaluate and assess exposure.
Review relevant venue-specific case law.
Complete case evaluations and ensure proper reserves are placed according to the company's reserving philosophy.
Make daily decisions on the appropriate course of action for files, considering insured, company, and cost factors.
Attend depositions, court-ordered mediations, trials, arbitrations, and settlement meetings as required, which may involve overnight travel.
Negotiate in a timely and effective manner to provide cost-effective solutions within established limits, utilizing various negotiation styles.
Consider Alternative Dispute Resolutions and utilize creative resolutions when appropriate.
Manage diaries and complete tasks to ensure cases achieve the best financial outcome and timely resolution.
Review legal expenses incurred in the defense of litigation.
Report to the Claims Committee as appropriate.
Evaluate claims for bodily injury, review medical reports/records/bills, and calculate past/future medical expenses and wage loss.
Analyze the value of Personal Injury Claims for compensation, considering past and future values.
Confirm and/or perform permanency ratings according to AMA guidelines to assess exposure and claim value.
Recognize, investigate, and handle recoveries from subrogation, salvage, liens, loss transfers, or other related claim areas.
Handle all correspondence relating to litigation files and respond accordingly.
Communicate and maintain professional relationships with insureds, claimants, agents, attorneys, vendors, and management regarding claim status.
Mentor lower-level litigation and claims employees.
Present various items to management.
Assist in training throughout the company as needed.
Demonstrate an appreciation and passion for strong claim management.