[Hiring] Litigation Specialist @Lodestar Claims & Risk Services

Role Description

Investigates, evaluates and resolves complex and litigated workers' compensation claims in order to achieve prompt and appropriate outcomes. Provides a superior level of customer service to internal and external business partners. Administers and resolves claims in a timely manner and in accordance with legal statutes, policy provisions, and company guidelines.

• Promptly evaluates all assigned claims; establishes and executes a strategy to mitigate indemnity, medical and allocated loss adjustment expense exposure.
• Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.
• Tracks status of assigned claims, individually and in the aggregate, using available management reports and tools such as Excel.
• Assures appropriate loss and expense reserves were established with documented rationale.
• Maintains and adjusts reserves over the life of the litigation to reflect changes in exposure, keeping in compliance with reserve authorization process.
• Notifies appropriate claim management when exposure exceeds authority.
• Negotiates claims resolution within granted authority.
• Establishes and executes appropriate action plans for claim resolution including loss cost management.
• Works collaboratively with multiple internal and external professionals and business partners in reaching appropriate disposition of all claims.
• Selects and manages service vendors to achieve appropriate balance between allocated expense and loss outcome.
• Maintains a very strong working knowledge of applicable regulatory and jurisdictional requirements.
• Demonstrates technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines.
• Communicates effectively with internal and external customers on claims and account issues.
• Maintains and manages a diary system and claim pending to efficiently and effectively resolve all claims.
• Manages litigation to achieve appropriate financial outcomes.
• Effectively manages defense counsel to properly protect the insured and Lodestar interests.
• Participates with claims management in the counsel evaluation process of staff and panel counsel.
• Makes recommendations for the addition / deletion of counsel.
• Potential regional travel for attendance at hearings and trials.
• Demonstrate commitment to Company’s Code of Business Conduct and Ethics.

Qualifications

• NY License required.
• A minimum of 7 years of progressively responsible experience in handling NY complex workers compensation claims and workers compensation litigation required.
• Bachelor's degree desired.
• Strong level of expertise in commercial workers compensation coverage, evaluation and negotiation techniques.
• Strong organizational skills and detail oriented.
• Ability to work independently, prioritize workload, handle multiple tasks simultaneously and exercise good judgment.
• Working knowledge of workers compensation claims handling practices.
• Excellent verbal and written communication skills, including a strong ability to actively lead or participate in meetings, presentations and seminars.
• Excellent customer service skills, with emphasis on accessibility and responsiveness.
• Computer literacy, including experience in Word, Excel and PowerPoint.
• Strong litigation management skills and extensive knowledge of applicable regulations, legislation and judicial decisions in relevant jurisdictions.

Requirements

• Lodestar is providing applicants with the anticipated wage range for this position in compliance with state regulations.
• The wage range for this role is $84,000 to $100,000.
• Wage ranges are based on national market data and may cover a wide range of geographies.
• Applicants may be paid above, within or below this range based on a variety of factors.