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American National · 1 month ago

Sr Litigation Specialist

US IL - Chicago

Full-time

Onsite

Senior Level, Lead/Staff

$74K/yr - $117K/yr

8+ years exp

American National is a US based specialty P&C company focused on wealth protection and retirement services. The Sr Litigation Specialist is responsible for negotiating lawsuits and directing the activities of defense attorneys, handling complex claims, and coordinating litigation strategies to ensure effective resolutions.

Auto InsuranceFinancial ServicesHealth CareHealth InsuranceInsuranceLife Insurance

No H1B

Responsibilities

Makes an initial in depth review of coverage to determine the sufficiency of information to make a correct decision. Completes an in-depth review of the investigation of the occurrence to evaluate the sufficiency of the investigation and to ensure a correct assessment of the exposure. Determines if the investigation supports the exposure analysis

Handles claims that are more complex than the lower level, such as multiple car accident, multiple injuries, catastrophic bodily injuries, etc

Coordinates a litigation plan with defense counsel that represents both a cost-effective defense and the best interest of the insured, when applicable

Assumes the responsibility for handling high severity multi-line litigation claims for all lines of business; personal and commercial; to include property, liability, first and third party exposure cases, Errors and Omission claims, Direct Action lawsuits, Commercial Agriculture and Construction Litigation; as well as Actions against the company for Extra Contractual Exposures

Receives and properly handles claims from inception or transfer; reviews notice of loss to determine proper coverage, establish and maintain proper reserves

Determines proper claim reserves to assure the exposure is properly reserved for

Recognizes, investigates, and handles as necessary recoveries from subrogation, salvage, liens, loss transfers, or other related claim areas

Handles all correspondence relating to the litigation files and responds accordingly

Communicates and maintains professional relationships with insureds, claimants, agents, attorneys, vendors and management regarding the ongoing status of claims handled

Reviews legal expenses incurred in the defense of the litigation

Mentors lower level litigation and claims employees. Presents various items to management. Assists in training, as needed, throughout the company

Reports to Claims Committee, if and when appropriate

Evaluates claims for bodily injury, review medical reports-records and bills. Calculates past/future medical expenses, past and future wage loss where applicable. Analyzes the value of Personal Injury Claims for compensation, considering both past and future values of compensation. Confirms and/or performs permanency ratings according to AMA guidelines to assess exposure and value of the claim

Considers Alternative Dispute Resolutions, utilizing creative resolutions when appropriate, in order to reach an effective resolution of a dispute

Makes daily decisions to determine the appropriate course of action for the file, considering the exposure of the insured, the company, and cost factors

Assists supervisor on special projects. Assigns new files in the absence of supervisor and field questions

Participates in court-ordered mediations. Appears/travels for settlement trips and court appearances, when required

Qualification

Claims handlingLitigation experienceBodily injury claimsInsurance designationsMentoringNegotiationCommunication

Required

Bachelor's degree in a related field

8-10 years' experience, 6-8 years of which must be claims experience handling body injury claims, and 2 years of which must be experience in litigation

Must possess and maintain all necessary licenses to adjust claims