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Claims Attorney Duties: Responsible for providing legal advice, oversight and counsel to claims personnel, product personnel, policy operations and marketing. Train panel counsel, staff counsel and claims personnel in the execution of the litigation management guidelines to assure accuracy in litigation, claim handling and optimization of legal expenses. Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Provide guidance, mentoring and counseling on policy and coverage interpretation. Provide legal analysis and opinions on coverage issues and policy changes. Undertake necessary legal research and provide legal direction on any matters relevant to claims handling and policy operations. Train, develop and provide technical guidance to claims on issues involving any legal or claims related issue, as well as, litigation handling. Provide assistance and advice on appeals, DJs, extra-contractual allegations, large losses, trials and post-trial strategies. Responsible for the identification, hiring and performance management of panel counsel for defense, coverage SIU and PIP specialties. Serve as a Subject Matter Expert for Product, Policy Operations, Marketing and other departments. Act as a liaison between staff and panel counsel. Audit staff and panel counsel.
Qualification and Experience
Qualifications: JD Degree or in-lieu of degree equivalent education, training and work-related experience. Maintain an active license as an attorney in at least one state. High degree of initiative, mature judgment and discretion. Ability to proactively resolve conflicts and empathize with internal and external customers. Knowledge of claim strategies. Solid understanding of the insurance industry. Solid understanding of the organizational relationship between the departments of an insurance company.
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