Claims Litigation Specialist

Summary

With advanced proficiency, this position handles personal injury protection (PIP) litigation claims in a multi-state territory and directs and reviews litigation strategy and actions of defense counsel.  Other responsibilities include the evaluation of coverage and exposure.  Travel to mediation sessions, settlement conferences and trials may be required.

Responsibilities

• Conducts claim evaluations to determine coverage and exposure; analyzes PIP claims to determine if coverage is in place and evaluates medical billing exposures.
• Adequately and accurately documents all pertinent file activity and assures claims coding is correct.
• Applies appropriate insurance principals, statutory and case law and in other jurisdictional issues in the PIP litigation process.
• Retains defense counsel and works with the attorney to develop a strategy and action plan to manage the litigation process with the goal of achieving an appropriate and cost-effective resolution.
• Participates in mediation sessions, settlement conferences, negotiations and trials.
• Performs other related duties as assigned.
  
  

Job Requirements

• A bachelor’s degree in a related field is preferred; a high school diploma or equivalency is
  
  

required.

• A minimum of five years of insurance experience handling auto and casualty claims;
  
  

Experience Handling Non-standard Auto Insurance PIP Claims Is Preferred.

• Must possess or be able to obtain insurance adjuster licenses in all applicable states.
• Must be proficient in Microsoft Office products.
• Insurance professional designation preferred (AIC, CPCU, SCLA).
• Demonstrated proficiency in evaluations and negotiations.
• Demonstrated ability to facilitate people and processes and get results through others.
• Long-term case planning ability over a span of several years.
• The ability to manage multiple priorities.
• Ability to analyze problems and identify a resolution at both a strategic and functional
  
  

level.

• Strong customer orientation.
• Excellent interpersonal and communication skills including verbal, written and
  
  

presentation skills.

• Ability to motivate high performance of the team and be a strong team player.
• Must possess strong organizational and time management skills.
• Commitment to company values.
  
  

Physical Demands

The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls. Tasks may also require the ability to talk or hear. The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. The employee may occasionally lift and/or move up to 10 pounds. Other abilities include possessing the capacity to learn, concentrate, think, and read. Oftentimes the employee will be communicating and interacting with others while working.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.

As a Team Member at First Acceptance Insurance Company, you will be part of a growing organization that continues to evolve and positively impacts the lives of our team members and customers.

We are looking for team members that engage – who take responsibility for themselves and take care of their customers and colleagues. Ideal candidates can compose themselves under pressure, have a “make It right” mindset, and focus their energies on solving problems. This means you’ll be supported by a team with all these qualities, too. If this sounds like the kind of team you’d like to join, we want to hear from you!

First Acceptance Insurance Company offers a full line of benefits including: Health Insurance, Dental, Vision, Paid Vacation, Disability Insurance and Employer Matching 401(k) Program.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants are considered for position and are evaluated without regard to mental or physical disability, race, religion, sexual orientation, color, gender, national origin, age, marital status, military or veteran status or any other protected local, state or federal status unrelated to the performance of the work involved.