Director of Litigation and Operations

**Remote applicants welcomed in Ohio**

Position Summary

The Director of Litigation and Operations is responsible for leading efforts of the proactive management of liability, injury, and litigated claims as well anti-fraud efforts, regulatory compliance, and subrogation recoveries in the Claims Department.   The Director of Litigation and Operations will accomplish this with direct management of internal resources and external vendor resources.   The Director of Litigation and Operations will handle a limited inventory of their own claims of the most complex claims. 

Primary Responsibilities

• Exceed customer service expectations on claims handling with our policyholders and our agents
• Lead the Casualty Injury & Complex Claims Unit (ICCU) to:
• Assure proactive handling on liability injury and property damage claims to resolution assigned to the unit
• Assure coverage investigations and liability investigations are thorough and accurate
• Recognize financial exposures quickly in the claim life cycle
• Assure assignment of claim files to the best resource
• Train and develop team members

• Continually update and improve the litigation strategy to control expenses, defend insureds properly and assure accurate settlements on litigated files
• Manage and maintain an external defense counsel panel as well as develop strong relations with defense counsel
• Complete periodic audits on defense counsel files
• Convey complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, including management while maintaining a professional demeanor in all situations
• Lead regulatory compliance adherence and strategy within the Claims Department, especially involving Medicare/Medicaid compliance
• Optimize subrogation recoveries with use of internal and external resources
• Lead anti-fraud efforts, including use of external “SIU” vendors, as well as internal training of staff
• Collaborate with attorneys and adjusters on valuing difficult claims
• Stay current on insurance topics, technologies, and trends.
• Available for after-hours severe casualty claims' response
• Provide timely management reports
• Other duties as assigned
• Minimum Qualifications

   

  • Highly customer service focused
  • Four-year undergraduate degree or equivalent insurance-related experience
  • Five or more years of prior management experience
  • Ten or more years of liability claims handling experience
  • Five or more years of complex Commercial Lines litigation handling
  • Construction defect claims litigation a plus
  • Extensive attorney-represented and non-attorney represented injury claims handling experience
  • Excellent interpersonal and leadership skills
  • Strong problem solving and decision-making skills
  • Strong PC skills including Microsoft Office
  • High level of organizational, reasoning and listening skills
  • Ability to manage time effectively and work independently with little supervision
  • Multi-task and detail oriented
  • Ability to work individually and in a team environment
  • Ability to create positive and collaborative working relationships
  • Excellent written and verbal communication skills
  • Willing and able to travel, work after normal business hours and adjust schedule as may be required by circumstances
  • Reliable

  Working conditions

  This position may be performed at the company headquarters in a traditional office environment full-time, at employee’s remote office full-time, or a hybrid schedule of part-time at the company headquarters and part-time at employee’s remote office.  This position routinely uses standard office equipment such as computers, phones, printers, and filing cabinets.

  Physical requirements

  The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.  While performing the duties of this position, the employee is regularly required to talk or hear.  This position will frequently be required to sit, stand, walk, stoop, kneel, crouch, use hand to finger, handle or feel, and reach with hands and arms.  This position also requires the ability to lift up to 25 lbs. occasionally.  Specific vision abilities required by this position include close vision, color vision, peripheral vision, and the ability to adjust focus.  The noise level in the work environment is usually moderate.

  Direct reports

  Casualty Specialists, Claims Operations Assistant

  Note

  Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employees for this job.  Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments.  All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently.  Some requirements may exclude individuals who pose a direct threat or significant risk to health or safety to themselves or others.  The requirements listed in this document are the minimum levels of knowledge, skills, or abilities.  This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.  Duties, responsibilities, and activities may change at any time with or without notice.

  Equal Employment Opportunity Statement

  Wayne Mutual Insurance Company provides equal opportunity in all of our employment practices to all qualified employees and applicants without regard to race, color, religion, gender, national origin, age, disability, marital status, military status, genetic disposition or any other category protected by federal, state and local laws.  This policy applies to all aspects of the employment relationship, including recruitment, hiring, compensation, promotion, transfer, disciplinary action, layoff, return from layoff, training and social, and recreational programs.  All such employment decisions will be made without unlawfully discriminating on any prohibited basis.