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General Counsel Consulting

General Counsel
Consulting
provided
exceptional
service in helping
my organization
recruit for a hard
to fill position.
They did extensive
work on the front
end to understand
our needs and
our culture and
began referring
highly qualified
candidates almost
immediately.

Melinda Burrows
Deputy General Counsel
- Litigation and
Compliance, Progress
Energy Service Company
LLC

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Counsel Jobs > Litigation/Attorney/In House/Richfield, Ohio Job in Ohio > Litigation/Attorney/In House/Richfield, Ohio

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Litigation/Attorney/In House/Richfield, Ohio

Refer job# VCGY54477

Senior Claims Examiner - Traditional BI The candidate will responsible for direct handling of high exposure serious bodily injury (BI) claims, complex coverage, liability issues, and litigation for claims throughout the United States, involving state specific laws and regulations, with an emphasis on strong communication and customer service. Will work with supervisory staff to coordinate and conduct professional development and mentoring opportunities for the claims staff. Initiate the investigation of new claims, make liability decisions, evaluate and negotiate settlements of BI features as appropriate. Review each claim for coverage issues utilizing coverage counsel opinions and working with underwriters and product managers regarding decisions to extend or deny coverage. Establish reserve setting in accordance with company policy. Communicate settlements and reserve increases to insureds as required by specific handling instructions. Prepare and present occasional status reports and telephone conferences at the request of the insured. Refer law suits to approved defense counsel and manage their handling, including the authorization of experts, surveillance, etc. Review and pay invoices of independent adjusters; attorneys and other vendors in a timely manner. Recognize state specific laws and claim regulations throughout the United States to insure that required state specific language is used correctly on releases and other claim documents. Maintain compliance with claims practicing guidelines for specific claim states. Document claim file notes clearly with all communications and activities that occur during handling of the claim using factual and objective information. Respond to time sensitive material including intercompany arbitration hearings, and department of insurance complaints. Maintain a current 30 day diary on all open claims. Obtain/maintain a non-resident adjuster license in various states. Resolve drivable Property Damage claims and close within 30 days, making sure evaluations and settlements are in compliance with state law. Write a comprehensive response to arbitrated claims. Assist claims supervisor in training new hires enabling them to learn the claims system and departmental procedures. Act as a mentor to claims staff. Attend mediations, depositions, and trials as required. Other duties as assigned by the claim supervisor. The candidate should have Bachelors degree and 5+ years of experience handling complicated BI liability and serious injury claims, including litigated files, or equivalent experience. Legal degree, CPCU, or other claim designation a plus. Commercial auto and multi-state experience helpful. Must be able to communicate liability decisions and reserve increase decisions to the insured that has self-insured retentions. Should have ability to: compose professional letters, e-mails, reports, and comprehensive file notes; verbally negotiate with claimants and attorneys in order to resolve claims; speak effectively before vendors, customers, claimants, attorneys and company management; and establish a rapport and communicate with insureds regarding claim handling, liability decisions, reserves, and settlement ranges. Dual language ability a plus. Working knowledge of Microsoft Office and Outlook Express. Word, Excel and PowerPoint experience is preferred. General knowledge of Internet use, search functions, and research is needed. Ability to read and interpret legal documents, insurance policies, medical reports, and billings is required. Must be able to interpret policies, perform analytical research, complete investigations, and make sound judgments from data and records collected in accordance with multi-state negligence laws. Must have strong analytical and reasoning skills. Required to participate in an after-hour emergency phone rotation in one week increments, 1 to 2 times per year.

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