Litigation Claims Examiner - Rideshare

Description

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs insurance technology providers and adjusters alike.

We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting we can’t wait to meet you.

About the role

We are seeking a skilled Rideshare Bodily Injury Litigation Resolution Specialist to manage litigated files. The successful candidate will:

• Investigate all aspects related to assigned claims

• Evaluate coverage liability and damages

• Negotiate and resolve claims

• Manage litigation related to auto accident claim disputes

The Bodily Injury Litigation Resolution Specialist will also be responsible for maintaining electronic files working with defense counsel's to drive performance and regularly reporting to the Claims Manager. In addition you will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.

Who you are

• Highly motivated and growth-oriented. You're excited by the prospect of building a tech-driven claims org.

• Passionate adjuster who cares about the customer and their experience.

• Empathetic. You exercise empathy and patience towards everyone you interact with.

• Sense of urgency - at all times. That does not mean working at all hours.

• Creative. You can find the right exit ramp (pun intended) for the resolution of the claim that is in the insured’s best interest.

• Conflict-enjoyer. Conflict does not have to be adversarial but it HAS to be conversational.

• Curious. You have to want to know the whole story so you can make the right decisions early and action them to a prompt resolution.

• Anti-status quo. You don’t just wish things were done differently you action on it.

• Communicative. (we'd love to know what this means to you)

• And did we mention a sense of humor. Claims are hard enough as it is.

What we need

We need you to do all the things typical to the role:

• Managing all aspects of litigated cases including evaluation of the resolution process

• Analyzing auto claims to identify areas of dispute investigating and gathering all necessary information and documentation evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers

• Managing litigation cases related to auto claims disputes communicating regularly with clients attorneys vendors and other stakeholders

• Reviewing legal documents and ensuring compliance with initial suit-handling plan of action.

• Analyzing policy language and reaching appropriate coverage decisions.

• Directing and controlling the activities and costs of outside vendors including defense counsel and coverage counsel experts and independent adjusters

• Maintaining adjuster licenses and continuing education requirements

Requirements

• Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)

• 10+ years of claim handling experience with 5+ of those years handling a pending of >60% in litigation

• Ride Share/TNC/Livery litigation is required .

• You are not intimidated by an attorney even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable

• Understand transportation coverages. Understand contractual risk transfer and additional insured forms

• You have strong medical causation knowledge

• You have a sense of urgency and understanding of how to manage time-sensitive demands

• Ability and willingness to communicate both on the phone and in written form in a prompt courteous and professional manner

• Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel

• Knowledge of multiple state statutes including good faith claim handling practices regulations and guidelines

• Ability to professionally collaborate with all stakeholders in a claim

• Have active adjuster license(s) and be willing to obtain all licenses within 60 days including completing state required testing

• Attention to detail time management and the ability to work independently in a fast-paced remote environment

• Curious and motivated by problem solving and questioning the status quo

• Desire to engage in learning opportunities and continuous professional development

• Willingness to travel for client and claims needs

Benefits

• Generous health-insurance package with nationwide coverage vision & dental

• 401(k) retirement plan with employer matching

• Competitive PTO policy – we want our employees fresh healthy happy and energized!

• Generous family leave policy

• Work from anywhere to facilitate your work life balance

• Apple laptop large second monitor and other quality-of-life equipment you may want. Technology is something that should make your life easier not harder!

Additionally we will

• Provide a manageable pending for you to deliver the service in a way you’ve always wanted and a dedicated account

• Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster

• Work toward reducing and eliminating all the administrative work from an adjuster role

• Foster a culture of empathy transparency and empowerment in a remote-first environment

At Reserv we value diversity in backgrounds perspectives and life experiences and believe that diversity in viewpoints and critical thinking drives innovation first-principles thinking and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply. If you believe you are a good fit for this role we would love to hear from you!