To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution
Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties
Handles high end cases with serious injuries and/or complex coverage scenarios
Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization
Identifies cases for settlements/redemptions
Gathers/documents additional information and coordinates with client designees
Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance
Responds to plaintiff's counsel, union, employee, or client requests
Identifies issues and formulates defense strategy
Establishes/adjusts accrued liability and approves administrative expenses
Identifies subrogation opportunities and manages process
Attends and participates in mediations, trials, arbitrations or hearings as needed

Bachelor's degree from an accredited college or university preferred
Professional certification as applicable to line of business preferred
Ten (10) years of experience handling litigation including five (5) years of claims management experience or equivalent combination of education and experience required
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business
Technically skilled and familiar with legal pleadings, discovery et al
PC literate, including Microsoft Office products
Ability to meet or exceed Performance Competencies

Litigation Consultant, Auto

About this role