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Claims Counsel

Role overview

Qualifications

  • Demonstrate business acumen in Property and Casualty Insurance Claims
  • Understand the litigation process involving complex commercial entities and insurance coverage
  • Create effective and detailed legal strategies
  • Defend and/or provide coverage counsel on commercial property and casualty insurance claims

Responsibilities

  • Advises and consults with file handlers on claims involving coverage matters and legal issues
  • Manages panel counsel performance and ensures compliance with litigation guidelines
  • Provides legal representation for the insured and/or Company at mediation or arbitration
  • Develops and implements strategic programs with the Claims team leadership

Key facts

Hard skills

Other skills

  • Decision Making
  • Customer Service
  • Communication
  • Coaching
  • Leadership
  • Organizational Skills
  • Business Acumen
  • Training And Development
  • Teamwork
  • Time Management
  • Problem Solving

About the company

Pharmacists Mutual Insurance Company logo

Pharmacists Mutual Insurance Company

  • Insurance
  • SME
  • 201–500
For more than a century, Pharmacists Mutual has been providing specialized insurance solutions backed by solid industry insight. We stand with integrity beside our policyholders during some of the most challenging circumstances. Our full range of professional, business, and personal policies deliver an unmatched level of quality, choice, and protection. Secure highly competitive rates from the company that understands the need for cost control. Pharmacists Mutual is your single resource for reliable, comprehensive insurance protection.

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Job description

Pharmacists Mutual Insurance Group has an opening for a Claims Counsel position. The Claims Counsel role is an in-house counsel position that advises and consults with file handlers on claims involving, but not limited to, coverage matters, high exposure, highly complex legal issues, and extra contractual claims.  Claims Counsel will manage panel counsel performance and assist with ensuring compliance with litigation guidelines. This position will focus on commercial insurance coverage and defense related matters and will assist in providing legal representation for the insured and/or Company at mediation, arbitration, or round table discussions.

Claims Counsel

  • Makes timely decisions, with guidance and direction from primary stakeholders.
  • Engages with the Claims team leadership to develop and implement strategic programs that meet our Company's goals and objectives.
  • Develops leadership style and motivates team to achieve a common goal by demonstrating the professional behaviors expected.
  • Learns to identify strengths and growth needs of team members and how to engage in development discussions.

AVP, Claims Counsel

  • Makes timely decisions independently, using personal knowledge and discretion.
  • Engages with Executive team on strategic matters that affect multiple teams within the Company.
  • Demonstrates effective leadership style and motivates team to achieve a common goal by demonstrating the professional behaviors expected.
  • Identifies strengths and determines growth needs of team members and provides effective feedback on development opportunities.

Essential Functions

Essential functions may include, but are not limited to the following:       

  • Manages liability, workers' compensation, and subrogation counsel panels.
  • Manages and monitors adherence to litigation guidelines.
  • Provides oversight and guidance to claims employees in their handling of litigated claims and collaborates with them regarding retention of outside experts.
  • Provides training, coaching, and claims expertise to all claims personnel.
  • Assumes direct handling responsibilities for complex and extra contractual cases as needed.
  • Prepares and delivers internal presentations and participates in providing learning opportunities to internal staff.
  • Serves as a resource for members of claims management as well as leadership teams in other departments.

Knowledge, Skills and Abilities

  • Demonstrate business acumen in Property and Casualty Insurance Claims
  • Understand the litigation process involving complex commercial entities and insurance coverage.
  • Create effective and detailed legal strategies.
  • Defend and/or provide coverage counsel on commercial property and casualty insurance claims.
  • Analyze complex issues and make critical decisions.
  • Read, interpret and input data efficiently and accurately.
  • Communicate and work effectively with others (oral and written).
  • Follow oral and written directions.
  • Apply correct English usage, spelling, grammar, vocabulary, and punctuation.
  • Determine when and how to escalate concerns to the appropriate level of management.
  • Contribute effectively to accomplish team or work unit goals, objectives, and activities.
  • Establish and maintain effective working relationships with those contacted in the course of work.
  • Provide excellent customer service.
  • Organize and prioritize work effectively.
  • Work independently and demonstrate initiative.
  • Handle multiple assignments concurrently.
  • Meet definite deadlines and effectively manage high-pressure situations.
  • Protect confidential information.
  • Utilize computer and related software effectively.
  • Demonstrate positive leadership and professionalism attributes.
  • Apply strategic management concepts to decision making.

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