[Close] 

Claims Litigation Specialist

Grow your Career with CSE Insurance Group!
We are currently seeking a Claims Litigation Specialist to join our Claims team. Our team members play an integral role in the innovation and growth of our organization.
Join CSE and be part of the excitement. You'll love our stuff!
JOB SUMMARY:
The Litigation Specialist will be responsible handling cases of high complexity and/or exposure. Investigate, evaluate and settle claims within designated authority. This position reports to the Large Loss Manager.
ESSENTIAL FUNCTIONS/PRINCIPAL RESPONSIBILITIES:
  • Examine claims files, insurance policies and other documentation to determine coverage applicable to a claim loss.
  • Develop a defense plan (strategy) and direct defense counsel on litigated claims.
  • Assists and may direct the investigation and claims settlement activities of attorneys and vendors.
  • Evaluate claim and reserve cases within designated authority on various lines of business both commercial and personal.
  • Settle and pay claims within designated authority. Recommend payment, evaluate and reserve claims in excess of assigned authority. Reports status to the Home Office Claims Department through large loss notices.
  • Attend pre-trial settlement conferences, arbitration and trials on litigated cases as needed.
  • Negotiate settlements directly with insureds, claimants, attorneys, and other insurance companies. May be given cases that are not in litigation but have a trigger exposure.
  • Present cases to the Suit and Roundtable Committees.
  • Perform other duties as assigned.
KNOWLEDGE, SKILLS, AND BEHAVIORS:
  • Must exercise budget responsibility with vendors for allocated loss adjustment expense.
  • Must be able to establish rapport with insured, public adjusters, attorneys, law enforcement agencies and other insurance companies.
  • Must have strong negotiation skills.
  • Must be able to function under a heavy volume of work and to make independent decisions regarding investigation, case evaluation and settlement negotiations.
  • Achieves a standard of excellence with work processes and outcomes, honoring company policies and regulatory compliance.
  • Team oriented, building strong working relationships and a positive work environment.
  • Is receptive to feedback and willing to learn, embracing continuous improvement.
REQUIRED EDUCATION, WORK EXPERIENCE, LICENSES & CERTIFICATIONS
  • Bachelor‚ s degree. Successful completion of AIC, CPCU/SCLA/CCLA/PCLA designation or its equivalent also preferred.
  • Thorough knowledge of claims policies, procedures, and protocols; fair/unfair claims practices regulations, all operating states insurance codes and contracts, civil codes, vehicles codes, arbitration rules and regulations, and legal decisions.‚
  • Demonstrate excellent written and oral communication skills. Must be able to effectively communicate with field claims personnel, executive management, vendors and others, necessary to accomplish goals. Management and time management skills are required to effectively manage the audit/training programs; assist when called upon to resolve complex technical questions, problems and/or complaints; establish and maintain rapport with field personnel, intra-departments, management, vendors, and agents.
  • Requires minimum fifteen years casualty claims adjusting experience with last five years in a senior examiner or equivalent positions.
  • Must be willing to travel, as required.
COMPANY BENEFITS
At CSE, we offer a competitive benefits package (to include profit sharing and 401K match) complemented by work-life balance programs to support our employees.
Who We Are
CSE Insurance Group is a multi-line provider of personal, commercial property and casualty insurance recognized for its fairness, integrity and exceptional service.
A community of good people define our company
CSE Insurance Group is a local company. Our community is your community. Being good people defines us and the agents that represent our products.
What We Do
Protect with well-made insurance, delight with exception service
Our customers deserve exceptional service and well made, high-quality insurance at a reasonable cost. They should feel positive about the protection CSE insurance provides.
How We Think
Create confidence in our customer‚ s mind everyday
Every time we connect with you is an opportunity to express our purpose ‚ to exemplify the integrity we demand of ourselves and our company.
Additional Information


Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

Claims Litigation Paralegal - Contract
Westlake Village, CA Kelly Services
Commercial Litigation Specialist
Santa Clara, CA Apple
Litigation Paralegal
Palo Alto, CA Robert Half
Consultant - Commercial Litigation and Forensi...
Los Angeles, CA Navigant Consulting Inc.
Claims Adjudicator
Oakland, CA Robert Half
Deputy City Attorney II, III or IV Litigation
Oakland, CA City of Oakland, CA