Claims Litigation Specialist

Accountabilities

• • Manage complex and high-exposure claims within a specialized line of business, applying sound judgment and technical expertise throughout the claims lifecycle.
  • Provide guidance and subject matter expertise to adjusters, managers, agents, and examiners on complex claims matters and challenging situations.
  • Evaluate coverage issues and prepare well-supported coverage opinions based on policy language, facts, and applicable considerations.
  • Direct and collaborate closely with defense counsel on litigated claims, supporting effective litigation strategies and appropriate claim resolution.
  • Investigate, evaluate, negotiate, and resolve claims using modern claims technology and established best practices.
  • Analyze claim information, identify key issues and risks, and make informed recommendations regarding appropriate courses of action.
  • Deliver exceptional service to internal and external stakeholders while maintaining compliance with established quality, audit, and regulatory standards.
  • Support special projects, operational initiatives, and continuous improvement efforts designed to enhance claims processes and outcomes.
  • Assist with the development, coaching, and training of claims team members by sharing technical knowledge and best practices.
  • Build strong professional relationships across claims, management, agency, legal, and other business functions.

  Requirements

  • Bachelor’s degree in Business, Insurance, or a related field.
  • Demonstrated experience handling complex, high-severity claims, preferably involving significant exposure and litigation.
  • Strong knowledge of litigated claim management, including coverage evaluation, defense counsel coordination, negotiation, and resolution strategies.
  • Excellent analytical and problem-solving abilities, with the judgment to make sound decisions in complex or high-pressure situations.
  • Strong written and verbal communication skills, with the ability to explain complex claims issues clearly to a variety of audiences.
  • Proven relationship-building and collaboration skills when working with adjusters, managers, agents, examiners, legal professionals, and other stakeholders.
  • Ability to provide technical guidance and influence claim outcomes while maintaining appropriate compliance and quality standards.
  • Comfortable using modern claims technology, claims management systems, and other digital tools to investigate and manage claims efficiently.
  • Ability to manage multiple priorities while maintaining accuracy, responsiveness, and attention to detail.
  • Associate in Claims (AIC) designation required.
  • CPCU designation or other relevant insurance industry education and certifications preferred.
  • Candidates must currently reside in Wisconsin, Illinois, Indiana, Iowa, Minnesota, Michigan, Kansas, Kentucky, Tennessee, North Carolina, Virginia, Arizona, Missouri, or Ohio.
  • Candidates located within 50 miles of an office location may be expected to follow a hybrid work schedule; fully remote employees may occasionally travel for meetings, training, or corporate events.

  Benefits

  • Medical and prescription insurance.
  • Health Savings Account (HSA).
  • Dental and vision insurance.
  • Short-term and long-term disability coverage.
  • Flexible Spending Accounts (FSA).
  • Life and accidental death and dismemberment insurance.
  • Accident and critical illness insurance.
  • Employee Assistance Program.
  • 401(k) plan with company matching contributions.
  • Pet insurance.
  • Paid time off, with 17 days of standard first-year PTO, prorated based on month of hire; enhanced PTO may be available for experienced candidates.
  • Performance-based bonus eligibility.
  • Benefits and leave programs administered in accordance with applicable state and local requirements.
  • Remote and hybrid work options depending on location, with occasional in-person engagement opportunities.