Claims Litigation Manager

DESCRIPTION OF ESSENTIAL DUTIES:

• Manages all of the activities of Claims Litigation, including managing staff, managing outside defense counsel, controlling financial results and improving processes.
• Monitors and manages Claims Litigation files and provides direction regarding legal strategy where appropriate.
• Balances workloads of the Claims Litigation team members.
• Assesses coverage issues and approves the bifurcation or trifurcation of Claims Litigation files with coverage issues.
• Serves as overseer of bifurcated and trifurcated Claims Litigation files.
• Ensures that the appropriate Claims and Claims Litigation files are reported to the reinsurance carrier.
• Extends coverage and settlement authority to Litigation Specialists on losses which exceed individual authority.
• Ensures claims legal activity and litigation is handled consistently and in the best interest of the policyholders and the Company.
• Monitors and reports to Sr. Director of Claims/Associate Dir. Of Claims/ Sr. Claims management observed legal trends and any adverse developments.
• Provides monthly written reports to Director of Claims/Associate Director of Claims to include number of incoming lawsuits, pending lawsuits and case outcomes.
• Oversees management of outside attorney relationships.
• Oversees monitoring and controlling legal expenses and payment severity.
• Represents, as needed, the Company in litigation, arbitration, mediation, and other legal proceedings related to claims litigation files.
• Provides input to Sr. Director of Claims/Associate Director of Claims regarding department staffing and budgeting.
• Coordinates efforts with Senior Claims Managers.
• Provides and/or assists with claims training on relevant topics as needed.

OTHER RESPONSIBILITIES/REQUIREMENTS:

• Represents Claims and assists Sr. Director of Claims/Associate Director of Claims with corporate projects as needed.
• Performs all other duties as assigned by Sr. Director of Claims/Associate Director of Claims

QUALIFICATION, EDUCATION AND EXPERIENCE REQUIREMENTS: 

1. Requires:
   1. Bachelor’s degree required.
   2. Law degree preferred.
2. If a practicing lawyer must be admitted to Georgia Bar and able to practice law in Georgia.
3. 7+ years of insurance claims litigation experience required.
4. AIC designation or other insurance designations preferred.
5. Continued involvement in professional education is required.
6. Must have a valid GA driver’s license.
7. Requires excellent telephone, public relations, oral/written communication, interpersonal, and organizational skills.

SUPERVISORY RESPONSIBILITIES:

• Senior Litigation Specialist,
• Litigation Specialist,
• Associate Litigation Specialist
• Special Investigation Unit
• Subrogation Unit

OTHER SKILLS/ABILITIES

The employee must be able to organize and prioritize work; must have knowledge of office administration procedures and able to operate most standard office equipment. The employee must pay attention to detail in composing and proofing materials. Must be self-motivated with initiative and ability to make decisions and accept responsibility. Employee must be flexible to respond to unexpected situations that require immediate attention. A high level of confidentiality is to be maintained by the employee. Must be adaptable to change on short notice and have excellent people skills such as diplomacy, tact, patience, good listener and communicator.

PHYSICAL DEMANDS/WORK ENVIRONMENT:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodation 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 sit; use hands to finger, handle controls; and talk and hear.  The employee frequently is required to reach with hands and arms.  The employee is occasionally required to stand; walk; and stoop.  The employee must regularly lift and/or move up to 10 pounds.  Specific vision requirements by this job include close vision and the ability to adjust focus. Occasional travel may be necessary for meetings with attorneys, mitigations, depositions, conferences, training classes etc.

EOE M/F/D/V AA

#LI-Onsite