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Claims Litigation Specialist
Next InsuranceClaims Litigation Specialist managing complex litigation cases for small business insurance provider ERGO NEXT. Focus on Bad Faith claims, coverage issues, and construction defects in litigation.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in managing complex claims, particularly in Bad Faith, daycare abuse/molestation, fatalities, and construction defects, with a strong focus on coverage analysis and resolution. Proven ability to execute tasks autonomously while maintaining attention to detail and effective prioritization.
Highest-signal resume keywords
Commercial General Liability ExperienceComplex Claims ManagementCoverage Analysis ExpertiseStrong Negotiation SkillsAnalytical Problem-Solving
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Bad Faith Claims HandlingCoverage Issues ResolutionClaims Handling PracticesPolicy Limit Exposure EvaluationDeclaratory Relief Action Procedures
Soft Skills
Attention to DetailCollaborative MindsetTask Prioritization
Industry Keywords
LitigationDaycare AbuseConstruction Defect CasesSevere Injury CasesExtra-Contractual Exposure
About the role
Key responsibilities & impact- Handle complex cases involving true Bad Faith claims with adverse and identified coverage/claims handling issues.
- Manage documented cases of daycare abuse/molestation, ensuring thorough investigation and resolution.
- Handle fatality cases with coverage issues, providing expert analysis and resolution.
- Manage construction defect cases, specifically focusing on complex ones involving multiple parties and intricate contractual issues.
- Centralize Declaratory Relief Actions by taking charge of coverage files and coordinating with relevant parties.
- Handle severe injury cases with complex issues, including coverage, liability, or damages concerns.
- Evaluate policy limit exposures, ensuring a true policy limit exposure exists and the potential for extra-contractual exposure is real.
- Address problematic claims that require dedicated attention to achieve resolution.
Requirements
What you’ll need- At least 15-20 years of directly related experience with Commercial General Liability and Litigation
- Previous experience in handling complex claims, particularly in the areas of Bad Faith, daycare abuse/molestation, fatalities with coverage issues, and construction defect cases involving multiple parties and complex contracts.
- Proven track record of autonomously executing tasks with precision and efficiency.
- Strong negotiation skills
- Strong knowledge of insurance policies, coverage analysis, and claims handling practices.
- Excellent analytical and problem-solving skills to navigate complex issues and reach satisfactory resolutions.
- Attention to detail and ability to prioritize tasks effectively.
- A collaborative mindset to work closely with the gatekeepers in determining case assignments and reassignments.
- Familiarity with Declaratory Relief Action procedures and centralized file management is a plus
Benefits
Comp & perks- Partially subsidized medical plan
- Fully subsidized vision/dental options
- Life insurance
- Disability insurance
- 401(k)
- Flexible paid time off
- Parental leave
- Annual performance-based incentive program