Senior Specialist, Litigation

Responsibilities

• Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring it meets the company's specific requirements and aligns with industry best practices.
• Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control.
• Oversee the evaluation, investigation, and adjudication of complex claims, including those related to commercial, general liability and property, and provide guidance to adjusters and defense attorneys in claim resolution and settlement strategies.
• Assess risk transfer opportunities to third parties and draft all tender documents when risk transfer is identified.
• Prepare and provide claim data for monthly and quarterly reports.
• Monitor the performance of the TPAs, establishing performance metrics and conducting regular evaluations, identifying areas for improvement, implementing corrective measures, and providing ongoing training to Operations staff to improve effectiveness and efficiency.
• Stay updated with industry regulations, legal requirements, and emerging trends in risk management, ensuring compliance with regulatory standards and company policies, including timely reporting, documentation, and adherence to claims handling protocols.
• Foster a customer‑centric approach within the Risk Management Department, emphasizing prompt and accurate FNOL, coverage issues, claim investigations, timely response to litigation, and effective communication.
• Collaborate with other departments, such as investments, development, legal, operations and IT, to ensure seamless operations and optimize overall department performance.
• Provide insights and recommendations to the SVP of Risk Management.

• Bachelor's degree in business, Insurance and Risk Management, or a related field (equivalent experience may be considered).
• Minimum of 7 years of experience in a claims‑heavy organization (4 years litigated claims experience) or as a claims supervisor at a TPA, insurance carrier or broker, focusing on commercial real‑estate organizations or construction, general liability litigation, and property.
• Strong knowledge of claims handling processes, insurance industry regulations, and best practices.
• Experience in managing claims systems (preferably Riskonnect) and processes.
• Proficiency in using RIMIS software and related tools.
• Experience working with TPAs is highly desirable.
• Relevant professional certifications (e.g., AIC, CPCU) are a plus.