Auto Litigation Examiner
Property and Casualty Insurance
The ideal candidate will be responsible for the handling of 1st and 3rd party Bodily Injury claims for Personal Lines/Commercial Litigation. Initiate prompt contact of all insureds/claimants/witnesses on all new New Jersey Bodily Injury claim assignments to conduct thorough coverage and liability/injury investigations. These investigations might require the representatives take in depth recorded statements to investigate coverage and liability/injury claims. Analyze, review and interpret policies to assess coverage and liability. Provide advice to Excess and Primary coverage issues. Conduct field investigations, interviews with insureds, witnesses and claimants while maintaining a pending of represented and unrepresented claimant cases. Manage and direct outside vendors (Field/Counsel/Surveillance, etc.) to determine what investigation is necessary and give them direction to bring a claim to conclusion. Ensure only necessary work is completed. Investigate cases timely so that reserves are established and maintained at proper levels. Revise reserves timely based on developments in the course of the claim. Investigate the validity of bodily injury claims being presented by individual insureds/claimants or attorneys representing insureds/claimants. Identify potential fraudulent claims. Handle complex claims to include coverage issues, UM/UIM, TNC, Commercial, Umbrella etc. Must have prior litigation handling experience. Recognize and investigate subrogation potential. Negotiate both 1st and 3rd party claims directly with injured parties and/or their attorneys. Exercises proper judgment and decision making to analyze exposure, determine the proper course of action and make recommendations for final resolution. Attend litigation proceedings to either represent the company or participate in arbitrations/depositions/settlement conferences/ mediations/ trials. Prepare case summary for significant reserve increase and/or trial alerts. Participate in roundtable discussions.
A bachelor's degree (B.A.) from an accredited four year college or university. 5 - 10 years' experience handling BI liability commercial, homeowners, UM/UIM, Excess/Umbrella. In-depth knowledge of litigation, arbitration and trial process, handle out of state claims, and/or Personal Injury Protection claims. Currently holds and/or can readily obtain an out of State License(s) (i.e. - CT, Delaware, Florida, etc.). Professional designation such as IIA, AEI, Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriting (CPCU) or be actively working towards a designation, preferred. Have advanced skills in coverage, investigation, litigation/ legal issues, negotiations, evaluations, medical terminology, and subrogation.
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