Sr Litigation Specialist

Overview

Argo Group International Holdings, Inc. and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions.

Purpose of the Job: Litigation roles are responsible for negotiating lawsuits and directing the activities of defense attorneys. This includes directing and reviewing litigation strategy and actions of defense counsel for claims involving litigation and/or complex injuries, with advanced technical proficiency including investigation, coverage and exposure evaluation, negotiation, and resolution.

• Makes an initial in-depth review of coverage to determine 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 accidents, 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 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 Omissions claims, Direct Action lawsuits, Commercial Agriculture and Construction Litigation; as well as actions against the company for extras 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 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, reviews 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. 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, 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 fields questions.
• Participates in court-ordered mediations. Appears/travels for settlement trips and court appearances, when required.

• Bachelor’s degree in a related field.
• 8-10 years’ experience, including 6-8 years of claims experience handling bodily injury claims, and 2 years of experience in litigation.
• Must possess and maintain all necessary licenses to adjust claims.
• Insurance and/or litigation designations such as CPCU, AIC, SCLA, etc.

Job Family:
Litigation Specialist;
Senior Litigation Specialist;
Litigation Examiner;
Sr. Litigation Examiner;
Manager, Litigation.

Note:

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