Chesterfield, MO, US
9 days ago
Claims Attorney
Claims Attorney Location Name MO, Chesterfield - 14755 North Outer Forty ID 2024-11582 Date Posted 13 hours ago(12/17/2024 9:23 PM) Company Midwest Employers Casualty Primary Location US-MO-Chesterfield Category Claims Company Details

 

Midwest Employers Casualty (MEC) is a member of the W. R. Berkley Corporation, a fortune 500 company, rated A+ (Superior) by A.M. Best Company, based in Chesterfield, MO. We improve the quality of life for employees severely injured on the job and help companies understand and mitigate their risk for workers’ compensation injuries. MEC has a friendly, results-focused work environment. We seek employees who take initiative, are quick to adapt, are dependable, and like working as part of a team.

 

https://www.mecasualty.com/

 

The company is an equal employment opportunity employer.  

Responsibilities

The Claims Attorney is a licensed attorney who provides expert legal support and advice on how to mitigate the liability and future exposure of MECC and its insureds on workers’ compensation and employers’ liability claims.  The Claims Attorney serves as an expert resource for the Claims Department and Regional Teams and provides guidance on claim issues such as settlement, Medicare compliance, insurance coverage, litigation strategy, third-party recovery and employers liability.  The Claims Attorney works in collaboration with internal Claims Department personnel (Claims Analyst and Medical Management Consultant and Claims Management) and external stakeholders (defense attorney, TPA and self-insured employer) to influence manage the outcome of claims with varying degrees of complexity, in various jurisdictions. 

 

Key functions include but are not limited to:

Appropriate handling of legal referrals, including:Timely review and management.Keeping referrals on active diary.Displaying quality legal analysis, strategy, and action plan.Appropriate file documentation and communication (internally and externally).Supports the Analysts and Regional Teams with the settlement of claims by:Proactively identifying claims that are ripe for settlement.Assisting with case evaluation and settlement strategy.Communicating settlement strategy with external stakeholders (TPAs, insureds, defense attorneys, etc.).Actively assisting with the negotiation process, attending mediations when it makes sense to do so, and doing what is necessary to close deals.Having demonstrated a track record of settling cases at the right price and terms.Being a resource internally and externally on Medicare issues that impact settlement and the different types of settlement vehicles/methods available.Instituting referrals to MEC’s settlement counsel when appropriate.Keeping abreast of various drivers that affect settlement (jurisdictional, legal, medical, etc.) and educate internal and external stakeholders.Interfaces with and manages external resources, including outside counsel retained by MEC.Responsible for monitoring various developments in the legal environment and excess workers’ compensation marketplace; education of Claims, Underwriting, and external stakeholders of jurisdictional and industry trends.Interaction with MEC clients and their representatives according to the MEC brand and the Claims Department vision.Serves as a go-to resource and subject matter expert for MEC and its insureds on jurisdictional and industry specific issues.Acts as a leader, mentor, and positive influence on others in the Claims Department.Develops solutions and new strategies to mitigate loss.Operates independently, executing plans under minimal supervision.Other duties as assigned by the Chief Claims & Regulatory Counsel or Vice President of Claims. Qualifications Juris Doctorate degree from an accredited law school.Active bar license in at least one state.Minimum of 3 to 5 years of relevant legal experience handling workers’ compensation claims, auto/general liability injury claims, insurance defense, insurance coverage, and/or litigation.Experience negotiating high exposure claims involving Medicare issues.Demonstrates sound legal analysis and judgment.Excellent written and oral communication skills.Demonstrates the ability to influence manage internal and external stakeholders.Adept at negotiation.Excellent listening and interpersonal skills.Keen attention to detail.Demonstrates proficiency in the use of Microsoft Office products.Ability to work in a team-oriented, collaborative environment.Highly self-motivated and directed. Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.

The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. Sponsorship Details Sponsorship not Offered for this Role Connect With Us! Not ready to apply? Connect with us for general consideration.
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