Job DescriptionRole PurposeThe Senior Legal Claims Examiner is responsible for managing complex and high-value insurance claims with a legal dimension, ensuring fair, timely, and cost-effective resolution in accordance with a legal and regulatory framework. This role involves conducting detailed investigations, negotiating settlements, liasing with legal counsel, and providing expert guidance on litigation matter. The Senior Legal Claims Handler also supports the continuous improvement of claims handling processes and mentors junior team members to uphold best practices and maintain high service standards.
Key Responsabilities- Handle a portfolio of high-value, complex, and litigated claims, ensuring compliance with legal, regulatory, and policy requirements.
- Assess liability and coverage issues with legal complexity.
- Develop and execute strategies for effective claim resolution, including litigation and settlement negotiations.
- Collaborate with internal departments, external legal counsel, brokers, and clients to ensure coordinated and efficient claims handling.
- Lead negotiations with claimants, attorneys, and third parties to achieve cost-effective settlements while protecting the company's interests.
- Ensure claims are handled in line with regulatory requirements and internal governance standards.
- Identify trends or risks and escalate issues that may impact policy wording or business practices.
- Provide technical guidance and mentoring to junior claims handlers.
- Support the training and development of the claims team in legal and procedural matters.
- Maintain accurate and up-to-date records of claims activity.
QualificationsRequierements - Juris Doctor, bar admision preferred
- Excellent communication and problem solving skills.
- Demonstrate flexibility and adaptability to work in a fast moving and challenging environment.
- Strong understanding of insurance principles, claims processes, and relevant legislation.
- Ability to manage multiple complex cases and deadlines simultaneously.
Experience- Significant experience (typically 3+ years) in handling complex and litigated insurance claims or at least 2 years experience in litigation.
