Senior Claims & Legal Specialist

PURPOSE

According to the prescribed policies and procedures including all applicable federal, state and local regulations, works with the in-house legal, procurement, and insurance teams.  Responsible for property and general liability claims management and litigation support within commercial E&S insurance market and a captive insurance company. 

ESSENTIAL FUNCTIONS

• Responsible for managing and overseeing high-value property and general liability claims, including coordination with TPAs, insurers, lenders, contractors, and internal cross-function partners for the settlement of claims.
• Provide litigation support and coordination with external counsel.
• Responsible for identifying need for litigation holds and drafting, implementation and coordination for all litigation holds and discovery.
• Responsible for ensuring compliance with regulatory requirements, insurance policies and internal policies.
• Responsible for analysis and tracking of claim-related costs including physical restoration and replacement costs, litigation budgets, audit responses, and associated data requests.
• Create reports related to insurance claims and related litigation.
• Supports strategic risk management initiatives across the enterprise and those specifically related to our captive insurance program.
• Responsible for monitoring and ensuring quality of documents being created and saved in our enterprise content management system.

EXPECTATIONS

• Demonstrates skill in managing multiple tasks, priorities, and deadlines.
• Demonstrates the ability to be discreet and handle confidential and highly sensitive information with the utmost care.
• Demonstrates the ability to communicate clearly and effectively, both verbally and in writing, with attorneys, vendors, TPAs, lenders, and internal team members at all levels.
• Shares learned knowledge, with the ability to create a culture of growth, development, collaboration and accountability.
• Must adhere to all policies, procedures, terms and conditions set forth in the National Church Residences’ Employee Information Guide (EIG), the Code of Conduct, as well as any facility handbook, including but not limited to, corporate compliance, drug free workplace, safe work practices, all federal, state, local regulations and laws.
• With respect to Resident/Client Rights, ensures all care is provided with respect and dignity for the residents/clients, their families and the staff. Reports all complaints made by residents/clients and/or families to the appropriate supervisors, reports all allegations of abuse, misappropriation of funds/resident property and/or any other corporate compliance, drug free workplace, safe work practices, all federal, state and local regulations and laws.
• Completes all annual education requirements timely, including but not limited to Compliance, Privacy, Security and HIPAA training and exhibits behavior as set forth by the Code of Conduct in the performance of their duties.
• Performs other duties as assigned.

Education:             Bachelor’s degree required

Experience:           Minimum of 5 years of work experience at a large law firm, corporate law department, or insurance company.

Travel:                    Occasional travel to facilities.

Mental:                  Must have good communication, comprehension, computer and interpersonal skills. Must have the ability to speak, read, write and understand English.

Skills:                      Excellent internet and computer skills (including advanced proficiency level with Microsoft Office tools), technology & research skills. Knowledge of Aclaimant or other risk management platform preferred.  Strong organizational skills, detail orientation, and project management abilities. Exceptional communication, research, problem-solving skills

Vision:                    Normal: Consistent with standard workflow.

With respect to said job description, estimate the daily time spent performing the following activities.

Rare (R) = 0-24%; Sometimes (S) = 25-49%; Frequent (F) = 50-74%; Continuous (C) = 75% plus

R = Climbing                                          R = Stooping                          Lifting/Carrying:                   S = 10-25 lbs.

S = Standing                                          R = Pushing                                                                           S = 26-50 lbs.

S = Sitting                                               R = Pulling                                                                             R = 51-75 lbs.

F = Walking                                           S = Driving                                                                             R = 76 plus lbs.

F = Use of computer screens

Consequences of Errors:                   High monetary responsibility; high reputational risk.

Supervision Received:                        General supervision. 

Working Conditions:                           Good office working conditions       

ACKNOWLEDGEMENT

I hereby understand and agree to the above description of the duties required.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, ancestry, military status, disability, genetic information and/or any other characteristics protected by applicable law.