Litigation Examiner

Namic

$80K — $95K *
US-AnywhereRemote in Atlanta, GA
Legal & Accounting
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in personal or commercial insurance claims handling
  • Experience in litigation management and professional liability claims
  • Juris Doctor preferred for a legal grounding in claims issues
  • Strong knowledge of tort and contract law relevant to Professional Liability
  • Effective public speaking skills for seminars and presentations
  • Must be familiar with insurance contracts and industry trends
  • Ability to travel out of state, including Canada, and possess a valid passport

Responsibilities

  • Manage an inventory of complex insurance claims including Directors & Officers and Fiduciary Liability
  • Conduct initial file reviews and identify coverage issues
  • Issue Reservation of Rights and coverage disclaimer letters as needed
  • Formulate claim resolution strategies based on liability reviews
  • Retain and manage defense counsel, including budget planning and negotiation
  • Prepare loss prevention articles and deliver seminars as required
  • Maintain and monitor claim diaries and reserves for ongoing claims

Benefits

  • Access to group medical, dental, and vision insurance
  • Matched 401(k) plan
  • Paid day off annually for charity volunteering
  • Generous paid vacation policy
  • Friendly and professional work environment
Full Job Description
The National Association of Mutual Insurance Companies - Insurance Company (NAMICO) has a new remote opportunity for a Sr. Litigation Examiner in our claims department. The Sr. Litigation Examiner is responsible for handling an inventory of Directors & Officers, Fiduciary Liability (ERISA), Insurance Company E&O, Agents E&O, and Carrier & Agency EPLI Claims. Specific duties include, but are not limited to: initial file review, identification of coverage issues, diary, reserving, retention of defense counsel and outside investigators, ongoing review, diary, payment of service bills and final claim resolution. Responsible for preparing loss prevention articles and/or delivering loss prevention seminars and programs as needed or assigned.

Essential functions of the position include:
  • Assumes responsibility for claim files as assigned by VP-Claims & CEO.
  • Reviews claims as to coverage under NAMICO program policy.
  • Issues Reservation of Rights letters and Coverage disclaimer letters, as appropriate.
  • Reviews claims as to liability and formulate claim resolution strategy.
  • Retains and manages defense counsel on all litigated claim files, including suit budgets, plan of action, hiring of outside investigators and/or experts, planning of discovery, and negotiation of claims.
  • Retains coverage counsel on selected files to assist in determining NAMICO's coverage position.
  • Maintains diary on all assigned claims.
  • Establishes, monitors, and changes claim reserves as appropriate.
  • Reviews and evaluates files on an ongoing basis and revises claim resolution strategy, as required.
  • Keeps senior management apprised of the status of all claims involving large loss reserves or proposed indemnity payments.
  • Meets with appropriate parties, attend mediations, arbitrations, and trials.
  • Resolves claims within authority, or obtains required authority from VP-Claims & CEO.
  • Prepares Loss Prevention or Claim Description articles for NAMICO/NIA publications on an as needed basis.
  • Presents Loss Prevention Seminars at various state and association meetings as needed.
  • Assists in marketing of applicable products and training seminars.
  • Consults with underwriters on risk selection and policy revisions, as well as assist underwriters with coverage questions.
  • Builds and maintains positive work relationships with management, staff members, and external contacts.
  • Arrives to work on time and maintains a positive attendance record.
  • Performs any other duties and projects as assigned.

Qualifications include:
  • Minimum of 5 years experience in personal lines insurance (property or liability) and/or commercial insurance lines (property or liability) claim handling.
  • Experience in litigation management and/or professional liability claims.
  • Ability to travel out of state regularly and occasionally to Canada.
  • Juris Doctor preferred.
  • Licensing in States where required securing reciprocal licenses when available.
  • Insurance certification/designations are encouraged.
  • Familiarity of insurance contracts and industry trends.
  • Strong knowledge of tort law, contract law and liability concepts applicable to Professional Liability claims.
  • Background in claims adjusting with litigation management experience.
  • Effective public speaking skills on as needed basis.
  • In-depth knowledge of liability policy language and coverage interpretation.
  • Must have the ability to get a valid passport.
  • Ability to successfully pass a criminal background check and must possess an acceptable MVR.


We offer an excellent compensation and benefits package with this full-time position. Benefits include access to group medical, dental and vision; a matched 401(k) plan; one paid day each year to volunteer with the charity of your choice; generous paid vacation; and more! We have a friendly yet professional work atmosphere where everyone enjoys working hard for the good of our members.

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