Claims Counsel

Capital Insurance Group

$114K — $190K *
Legal & Accounting
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • J.D. from an accredited law school and active bar membership in a CIG operating state required.
  • 8+ years of experience in property and casualty insurance essential.
  • Experience in an insurance company claims department or law firm setting necessary.
  • Strong preference for candidates with First Party Property experience.
  • Experience advising on or litigating coverage issues in first party property preferred.
  • Familiarity with complex claims adjustment and oversight highly valued.
  • CPCU designation preferred.

Responsibilities

  • Consult with claims staff on various claims issues, including coverage and policy limit reviews.
  • Identify coverage issues warranting assignment to outside counsel and collaborate accordingly.
  • Manage some policyholder litigation and attend mediations as needed.
  • Train claims staff on jurisdictional issues and Fair Claims Practices.
  • Respond to insurance claims inquiries from different departments.
  • Track and organize claim files reported to Claims Legal for follow-up.
  • Participate in claims roundtable discussions and lead follow-up actions.

Benefits

  • Remote work environment, ideally based in Orange County.
  • Opportunity to work collaboratively within a specialized Claims Legal team.
  • Engagement in ongoing training and development with claims staff.
  • Chance to influence the selection of new legal firms for the panel list.
  • Flexibility in managing various claims and liaising with multiple stakeholders.
Full Job Description
Work Environment & Format:

This is a remote position, ideally with someone based in Orange County (Irvine, Costa Mesa, Newport Beach, Santa Ana, Anaheim, Orange, Huntington Beach, and Fullerton).

Job Overview:

Under general supervision, this position will be part of the Claims Legal team, which will provide settlement authority and general strategic support for claims/exposures that exceed the line unit's authority. The position encompasses a variety of responsibilities that include the analysis of unique jurisdictional concerns and ensuring consistency in claims positions. Overall, this position will assist in consulting on complex claim files that are reported to Claims Legal.

Responsibilities:
  • Responsible for consultation with claims staff in a variety of claims issues, including but not limited to, coverage, indemnification, policy limit demand reviews, indemnity agreement review, release language review.
  • Identifies coverage issues which require assignment to outside counsel and works with outside counsel as needed.
  • Directly handle some policyholder suits against the company and work with outside counsel in managing the litigation. Will need to attend mediations as needed.
  • Assists in training to claims staff on various jurisdictional issues and/or Fair Claims Practices training.
  • Respond to insurance claims questions from a variety of departments.
  • Works closely as part of the Claims Legal team in providing outstanding service to claims staff.
  • Responsible for tracking claim files reported to Claims Legal - ability to stay organized, and diary cases for future follow-up.
  • Participate in roundtable discussions on a variety of claims topics, including trial authority, and taking the lead on future follow-up of action items.
  • Will work collaboratively with current Panel Counsel to ensure consistency of service to CIG insureds. May also participate and/or take the lead in identifying new firms to join Panel list.
  • Work with Analyst in Claims Legal in ensuring consistency of Reinsurance reporting as required.
  • Ability to analyze complex insurance claims situations and develop recommendations to be shared with claims staff.
  • Ability to handle conflicting requests from multiple stakeholders in a fast-paced environment while paying attention to detail.
  • Good communication and interpersonal skills, ability to work independently and in a team setting.
  • Ability to interface with multiple levels of the organization.
  • Ability to travel (
  • Ability to stay organized and manage time effectively in order to manage competing priorities.
  • Have effective research skills and ability to stay current with changes in case law and regulatory changes.
  • Job description is not prescriptive, but rather a guide as to the duties and responsibilities you will have, however it is not limited to the listed above.

Minimum Requirements:
  • Bachelor's degree and JD from an accredited law school required.
  • Member in good standing of any CIG operating state (Arizona, California, Nevada, Oregon, Washington) bar required.
  • Minimum of 8 years' experience in property and casualty insurance required.
  • Experience working inside insurance company claims department and/or law firm setting required.
  • First Party Property experience strongly preferred.
  • Experience advising on or litigating first party property coverage issues strongly preferred.
  • Experience with adjustment and/or oversight of complex claims is strongly preferred.
  • Experience in following jurisdictions preferred: California and Washington.
  • CPCU preferred.
  • A valid driver's license may be required.
  • Candidates must be authorized to work in the United States without the need for current or future visa sponsorship.

Salary Range: $114,364.00 - $190,607.00

The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.

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