Litigation Claims Examiner (Flex)
To see similar active jobs please follow this link: Remote Legal jobs
Description
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
We are seeking a skilled BI-LIT Claims Examiner to manage litigated files and attend trials, conferences, mediations, and arbitrations. The successful candidate will:
Investigate and gather all necessary information and documentation related to claims
Evaluate liability and damages
Negotiate and settle claims
Manage litigation cases related to auto claims disputes
The BI-LIT Claims Examiner will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Claims Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
Who you are
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
Passionate adjuster who cares about the customer and their experience.
Empathetic. You exercise empathy and patience towards everyone you interact with.
Sense of urgency - at all times. That does not mean working at all hours.
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest.
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
Anti-status quo. You don’t just wish things were done differently, you action on it.
Communicative. (we'd love to know what this means to you)
And did we mention, a sense of humor. Claims are hard enough as it is.
What we need
We need you to do all the things typical to the role:
Managing legal aspects of litigated cases, including evaluation of legal process and expenses
Analyzing and reviewing auto insurance 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 or their insurance providers
Managing litigation cases related to auto claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders
Collaborating with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry
Reviewing legal documents and ensuring compliance with initial suit-handling plan of action
Serving as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed
Analyzing policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing primarily litigated claim files from inception to closure
Directing and controlling the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters
Maintaining adjuster licenses and continuing education requirements
Requirements
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
Transportation litigation (rideshare, auto, trucking, etc) is preferred but those with personal lines experience should still apply if they meet all other requirements.
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 medical knowledge
You have a sense of urgency and understanding of how to manage time-sensitive demands
Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
Ability to professionally collaborate with all stakeholders in a claim
Have active adjuster license(s) and be willing to obtain all licenses within 45 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 questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Willingness to travel for client and claims needs
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
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
Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster
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
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!
About the job
Litigation Claims Examiner (Flex)
To see similar active jobs please follow this link: Remote Legal jobs
Description
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike.
We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.
About the role
We are seeking a skilled BI-LIT Claims Examiner to manage litigated files and attend trials, conferences, mediations, and arbitrations. The successful candidate will:
Investigate and gather all necessary information and documentation related to claims
Evaluate liability and damages
Negotiate and settle claims
Manage litigation cases related to auto claims disputes
The BI-LIT Claims Examiner will also be responsible for maintaining electronic files, analyzing defense counsel's performance, and regularly reporting to the Claims Manager. In addition, you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.
Who you are
Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.
Passionate adjuster who cares about the customer and their experience.
Empathetic. You exercise empathy and patience towards everyone you interact with.
Sense of urgency - at all times. That does not mean working at all hours.
Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest.
Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational.
Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.
Anti-status quo. You don’t just wish things were done differently, you action on it.
Communicative. (we'd love to know what this means to you)
And did we mention, a sense of humor. Claims are hard enough as it is.
What we need
We need you to do all the things typical to the role:
Managing legal aspects of litigated cases, including evaluation of legal process and expenses
Analyzing and reviewing auto insurance 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 or their insurance providers
Managing litigation cases related to auto claims disputes, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders
Collaborating with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry
Reviewing legal documents and ensuring compliance with initial suit-handling plan of action
Serving as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed
Analyzing policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing primarily litigated claim files from inception to closure
Directing and controlling the activities and costs of numerous outside vendors including defense counsel and coverage counsel, experts and independent adjusters
Maintaining adjuster licenses and continuing education requirements
Requirements
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
Transportation litigation (rideshare, auto, trucking, etc) is preferred but those with personal lines experience should still apply if they meet all other requirements.
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 medical knowledge
You have a sense of urgency and understanding of how to manage time-sensitive demands
Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
Ability to professionally collaborate with all stakeholders in a claim
Have active adjuster license(s) and be willing to obtain all licenses within 45 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 questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Willingness to travel for client and claims needs
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
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
Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account
Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster
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
At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first-principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role, we would love to hear from you!