Bachelor's degree preferred, but extensive experience may compensate for lack of degree
Active adjuster license required, with options for Designated Home State license
12+ years of claims handling experience, including 7+ years in litigation-heavy cases
Strong understanding of transportation coverages and contractual risk transfer
Proficient in medical terminology and time-sensitive document management
Excellent verbal and written communication skills
Strong analytical and negotiation skills with a focus on desired outcomes
Knowledge of state statutes and good faith claim handling practices
Ability to collaborate professionally with all stakeholders
Willingness to obtain necessary licenses within 60 days
Detail-oriented with strong time management skills
Curious and motivated problem solver
Desire for continuous professional development
Willingness to travel as needed
Responsibilities
Manage legal aspects of complex, high-value claims, including evaluation of processes and expenses
Analyze and review commercial auto and transportation claims to identify disputes and gather necessary documentation
Manage litigation cases, attending mediations and court hearings as required
Collaborate with defense counsel and claims leadership for strategic planning
Review legal documents for compliance with litigation management guidelines
Analyze policy language to make coverage decisions and manage litigated claims from start to finish
Direct activities and costs of outside vendors, including defense counsel and experts
Maintain adjuster licenses and fulfill continuing education requirements
Benefits
Generous health insurance package with nationwide coverage, including vision and dental
401(k) retirement plan with employer matching
Competitive PTO policy to promote employee well-being
Generous family leave policy after 8 months of continuous work
Flexible work-from-anywhere policy to enhance work-life balance
Provision of quality technology equipment, including an Apple laptop and large monitor
Full Job Description
About the role
We seek a skilled Major Case Unit claims professional to investigate and resolve Reserv's most complex and catastrophic claims. Potential to attend trials, settlement conferences, mediations, and arbitrations. Responsible for the handling of all aspects of the claim assigned, including reserving, communication, documentation, litigation management, evaluation, and negotiation. Additionally, another responsibility would be to participate in and coordinate training in the handling of complex claim matters and projects requiring advanced claim knowledge and experience. The Major Case Unit Resolution Specialist will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Major Case Unit Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
What you'll do
Managing legal aspects of complex, high value cases, including evaluation of legal process and expenses
Analyzing and reviewing commercial auto and transportation claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties.
Managing litigation cases related to claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims professionals, attorneys, and other stakeholders
Collaborating with defense counsel, claims counsel, and claims leadership for strategic planning, including fostering and maintaining positive working relationships with approved defense firms and other vendors in the industry
Reviewing legal documents and ensuring compliance with litigation management guidelines.
Analyzing and interpreting policy language and reaching appropriate coverage decisions, drafting complex coverage correspondence and proactively managing primarily litigated claim files from inception to closure
Directing and controlling the activities and costs of outside vendors including defense counsel, coverage counsel, experts and independent adjusters
Maintaining adjuster licenses and continuing education requirements
Qualifications
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license
12+ years of claim handling experience, with 7+ of those years handling a pending of >60% in litigation
You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable
Understand transportation coverages. Understand contractual risk transfer and additional insured forms
You have strong understanding of medical terminology
You have a sense of urgency and understanding of how to manage time-sensitive demands and documents.
Ability and willingness to communicate both verbally and in written form in a prompt, courteous, and professional manner
Strong analytical and negotiation skills with the ability to drive the negotiations to desired outcomes.
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
Ability to professionally collaborate with all stakeholders in a claim
Willing to obtain all licenses within 60 days, including completing state required testing
Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment
Curious and motivated by problem solving and not afraid to question the status quo
Desire to engage in learning opportunities and continuous professional development
Willingness and ability to travel
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy - we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Additionally, we will
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
Work toward reducing and eliminating all the administrative work from an adjuster role
Foster a culture of empathy, transparency, and empowerment in a remote-first environment
