We’re committed to putting people first – if you need an accommodation as you go through the job searching, application, and interviewing process, please click here for more information.
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Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Prepares for and attends trials, hearings and conferences and reports to Home Office and local management on status. Confers with trial counsel and prepares trial reports. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Accountable for security of financial processing of claims, as well as security information contained in claims files. Updates files and provides comprehensive reports as required. Responsible for managing the practices and billing activities of outside and in-house counsel. Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory. 1+ years Personal Lines Third Party Auto Casualty Experience. 1+ years Attorney Represented Experience. Strong written and oral communications skills required. Good interpersonal, analytical, investigative, and negotiation skills required. Customer service experience preferred. Demonstrated competency of legal liability, general insurance policy coverage and State Tort Law. The capabilities, skills and knowledge required is normally acquired through a Bachelor's degree or equivalent experience and at least 12-18 months of directly related experience. 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Support Senior Trial Counsel and Senior Litigation Counsel in all aspects of case handling through trial, including preparation, management, and assistance at every stage of the litigation process. Client Advisory and Relationship Management: Provide clear and reasoned legal opinions and strategic advice to Claims Representatives and insured clients. Develop and maintain strong client relationships through transparent and effective communication. Technology Utilization: Utilize e-discovery and case management technologies to streamline legal processes, improve efficiency, and reduce operational costs. Demonstrate effective coordination with remote team members and proficiency in remote work settings. Risk Evaluation and Case Resolution Facilitation: Identify, evaluate, and collaborate on strategies to mitigate legal risks, working closely with clients and senior counsel to facilitate effective resolutions. Documentation Accuracy and Compliance: Ensure all legal documents, pleadings, and motions are meticulously prepared, accurate, and compliant with applicable standards and client expectations. Timely Client Communication: Provide clear, consistent, and timely updates and recommendations to insured clients and claims professionals to maintain alignment with case objectives. Contribution to Organizational Improvement: Participate in initiatives aimed at enhancing efficiency, effectiveness, and best practices within Staff Legal and Global Legal & Compliance organizations. Ethical Compliance Adherence: Uphold the highest standards of legal ethics and compliance, following legal regulations and licensing requirements and promoting a culture of integrity within the legal team. Juris Doctor (JD) or LLB degree from an accredited law school. Admission to the bar in Oregon and in good standing; special licenses to practice before particular boards or federal courts may be required. General knowledge of insurance law, and as necessary, workers' compensation and/or No Fault law. Proficient in e-discovery, case management systems, and basic legal analysis tools. Strong analytical, research, and legal writing skills. Basic knowledge of negotiation techniques including preparation, active listening, and problem-solving. Demonstrated ability to manage cases from start to finish under supervision. Effective communication and persuasion skills, both written and oral. Ability to collaborate with clients, claims professionals, and senior attorneys. 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Refers to claim to subrogation group or Special Investigations Unit as appropriate. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim. Assesses actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Coordinates the litigation activities associated with assigned claims to ensure a timely and cost-effective resolution; attends trials as a representative of the company. Acts as senior technical professional on team, assisting team members with escalated issues. Mentors and trains new team members. Participate in Quality Review process. Participate in conducting Suit Committees, Roundtables, Arbitrations, Mediations, field investigations and may assist in conducting closed file reviews. Performs other duties as assigned. Excellent interpersonal skills to communicate and negotiate with customers and conduct investigations required. Leadership ability and demonstrated time management skills to delegate work appropriately and organize resources effectively. Demonstrates an advanced knowledge of claims case handling practices, legal liability, general insurance policy coverage, and the state`s tort laws as normally acquired through a bachelor`s degree (or equivalent training) plus 3 to 5 years directly related work experience. 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Extensive and timely direct interaction with Insured's, Claimants, Agent's and Internal Customers. Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues. Establishes claim reserve requirements and makes adjustments, as necessary, during the processing of the claims. Determines and negotiates settlement amount for damages claimed within assigned authority limits. Writes simple to moderately complex property damage estimates or review auto damage estimates. Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate. Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistently with established guidelines and expectations. Alerts Unit Leader to the possibility of fraud or subrogation potential for claims being processed. Bachelor's Degree preferred. High school diploma or equivalent required. 1-2 years of experience. Claims handling skills preferred. Strong customer service and technology skills. Able to navigate multiple systems, strong organizational and communication skills. 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