Remote Claims Attorney Surety & E&O Investigations Job West Des Moines Iowa USA,Insurance

Position: Remote Claims Attorney I for Surety & E&O Investigations

The Claims Attorney I position is responsible to investigate and adjust claims made on commercial and contract surety bonds and E&O policies, communicate orally and in writing with various stakeholders, and pursue appropriate salvage and indemnity. The Claims Attorney I works independently and with oversight from department leaders. This role coordinates payment of loss and expense checks, sets and revises reserves, and prepares closing file documentation.

The Claims Attorney I must stay current on applicable State and Federal laws and regulations that apply to handling bond or E&O claims.

Job Purpose

The Claims Attorney I position is responsible to investigate and adjust claims made on commercial and contract surety bonds and E&O policies, communicate orally and in writing with various stakeholders, and pursue appropriate salvage and indemnity. The Claims Attorney I works independently and with oversight from department leaders. This role coordinates payment of loss and expense checks, sets and revises reserves, and prepares closing file documentation.

The Claims Attorney I must stay current on applicable State and Federal laws and regulations that apply to handling bond or E&O claims.

Job Responsibilities

Claim Investigation and Loss Analysis

Reviews and analyzes correspondence and documents primarily submitted by claimants and Principals, interviews involved persons, and requests additional documentation in order to determine exposure.
Documents investigation efforts in the claim file and maintain relevant file documentation within Sims file.
Works with the Director of Claims to direct and oversee outside counsel and consultants as necessary to assist with claim investigation or salvage and indemnity aspect of claim.
Evaluates potential sources of salvage, reimbursement, and indemnification for any loss or expense that may be paid. Requests recovery of loss, expenses, and costs in accordance with the terms of the Indemnity Agreement or the surety’s statutory or common law equitable rights or rights of equitable subrogation.
If necessary, and with the assistance of the Director of Claims/VP Claims, negotiate with stakeholders to resolve claims, including creating secured repayment plans, referrals to collection agencies, or pursuing indemnity actions.
Drafts determination letters and reviews recommendations with supervisor, as required. Prepares documentation for payments, if approved.
Make decisions regarding collateral or other indemnity or subrogation rights with the assistance of the Director of Claims. Obtains reimbursement pursuant to agreement such as collateral trust agreements.

Research and Consultation

Works with the Director of Claims to seek legal counsel or retain consultants as appropriate based on the merits of the claims. Audits outcomes and performance to assure competence. Reviews bills for accuracy and reasonableness. Authorizes payment.
Stays abreast of claims handling requirements of corresponding jurisdictions and attends required claim and anti-fraud training.
Reviews bond language, contracts, codes, statutes, and case law, as applicable to the claims.

Reporting

Prepares year end reports, as required, for files by reviewing: status of open claims, Principal’s financial condition, and evaluating accounts for necessary reserve changes.
Prepares closing memorandums summarizing the claim issues and resolution, as well as losses incurred and salvage recovered.
Prepare claim summaries or other reports for the Compliance Department as necessary.

Qualifications

Education and Experience:

J.D. required plus 2-4 years of experience in the Surety, Insurance, or related industry. Experience investigating and adjudicating claims in the surety industry is preferred. License to practice law in…