Drives proficiencies in claims processes and investigations to reduce litigation costs by tracking, reviewing and analyzing newly litigated cases; collaborating with risk analysis team to develop reporting metrics (for example, reporting metrics packet);developing reports for and communicating results of current litigation trends to leadership (for example, directors, vice presidents, in-house legal counsel); identifying and communicating behaviors and claims processes resulting in litigation to stakeholders (for example, case managers, supervisors) in team meetings; and developing and conducting team training sessions to educate stakeholders on improving claims processes.
Determines the complexity and value of litigated claims for possible resolution by the company by reviewing new lawsuits from Legal Central Intake Department; reviewing Claims Management Inc. (CMI) claims file and existing evidence (for example, statements, police reports, video, medical records, criminal background checks, employment records, index reports); following up with the store to identify,gather, and preserve additional discovery items (for example, statements from witnesses and associates); and analyzing and reviewing evidence gathered from various sources (for example, LegalDepartment intake, CMI claims file, discovery items).
Manages and oversees outside counsel on discovery matters, negotiations and settlement agreements by identifying and assigning outside counsel to handle claims; reviewing and analyzing initial case assessment and legal strategy proposed by outside counsel; directing and monitoring outside counsel throughout strategy implementation and negotiations; providing settlement authority to outside counsel; and reviewing and approving outside counsel invoices to ensure billable hours are appropriate for each case.
Manages cases turned over for litigation from Case Managers by researching and reviewing litigated claims and evidence; initiating communication with claimant attorneys; utilizing negotiation strategies to bring about claim resolution; and determining next steps (for example, continue to negotiate, assign to outside counsel) to settle claims.
Bachelor's degree in Business, Arts, Science, or related field and 1 year experience in insurance claims, law or related field OR 3 years of experience in insurance claims, law or related field.
Insurance adjuster license.
Insurance industry or claims experience, Paralegal diploma approved by American Bar Association OR National Association of Legal Assistants Certified Legal Assistant certificate, Working in a legal environmentDoctorate: Law, Masters: Business Administration
608 SW 8TH ST, BENTONVILLE, AR 72712-6207, United States of America