Sample Job Description for Vice President - Claims Litigation
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Vice President - Claims Litigation Job Overview
Vice President - Claims Litigation Job Description Sample
Provides legal representation to the organization in insurance claims-related litigation.
JOB LEVEL
M05
EDUCATION/DEGREE
JD, MD, PhD or Equivalent
REPORTS TO
Top Management
Salary Range
BASE 50%
$299,790
TOTAL 50%
$471,890
Job Responsibilities for Vice President - Claims Litigation
Provides legal advice to claims personnel. Leads a staff of internal attorneys and outside legal counsel. Tries large, complex cases as required and directs claims cases through litigation cycle. Consults with senior management to resolve issues and decide settlements. Must be admitted into the state bar. Acts as Attorney of Record.
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| Job Title | Job Description | |
|---|---|---|
| 1 | Claim Examinations/Adjustments Manager | The Claim Examinations/Adjustments Manager operates of one or more claims processing units, including the timely and proper disposition of claims in accordance with coverage amounts. Responsible for managing the insurance claims department composed of Examiners and Adjusters. Being a Claim Examinations/Adjustments Manager ensures complete and sound claim settlements, legal reviews and investigations in accordance with company policies and procedures. Oversees insurance claims for personal, property, or casualty loss based on coverage, appraisal, and verifiable damage. In addition, Claim Examinations/Adjustments Manager requires a bachelor's degree. Typically reports to top management. The Claim Examinations/Adjustments Manager typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. Working as a Claim Examinations/Adjustments Manager typically requires 3+ years of managerial experience. |
| 2 | Claim Review and Settlement Examiner I | The Claim Review and Settlement Examiner I examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being a Claim Review and Settlement Examiner I communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Claim Review and Settlement Examiner I determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Being a Claim Review and Settlement Examiner I work is closely managed. Works on projects/matters of limited complexity in a support role. Working as a Claim Review and Settlement Examiner I typically requires 0-2 years of related experience. |
| 3 | Claims Investigator I | The Claims Investigator I corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested insurance claims. Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage. Being a Claims Investigator I prepares reports of investigation findings. Makes recommendations for settlement of routine property/casualty claims based on coverage, appraisal, and verifiable damage. In addition, Claims Investigator I may conduct field evaluations to inspect and document damage or loss. Typically requires an associate's degree. Typically reports to a supervisor or manager. Being a Claims Investigator I works on projects/matters of limited complexity in a support role. Work is closely managed. Working as a Claims Investigator I typically requires 0-2 years of related experience. |
| 4 | Claim Review and Settlement Examiner II | The Claim Review and Settlement Examiner II examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being a Claim Review and Settlement Examiner II communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Claim Review and Settlement Examiner II determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Being a Claim Review and Settlement Examiner II occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. Working as a Claim Review and Settlement Examiner II typically requires 2 -4 years of related experience. |
| 5 | Claim Review and Settlement Examiner IV | The Claim Review and Settlement Examiner IV examines and authorizes insurance claims investigated by insurance adjusters. Reviews, evaluates, and processes insurance claims and makes recommendations for resolution. Being a Claim Review and Settlement Examiner IV communicates with agents, claimants, and policy holders. Studies reports prepared by adjusters and similar claims to determine the extent of insurance coverage and validity of the claim. In addition, Claim Review and Settlement Examiner IV determines settlement according to organization practices and procedures. May require a bachelor's degree. Typically reports to a supervisor or manager. Being a Claim Review and Settlement Examiner IV work is highly independent. May assume a team lead role for the work group. A specialist on complex technical and business matters. Working as a Claim Review and Settlement Examiner IV typically requires 7+ years of related experience. |
Vice President - Claims Litigation Skills & Proficiency Level
| Skills | Proficiency Level |
|---|---|
| Coordination | Level 4 |
| Judgment and Decision Making | Level 5 |
| Talent Management | Level 5 |