Effectively and efficiently investigates, evaluates, and settles insurance or legal claims, ensuring legal compliance (e.g., IRA, DPA) and mitigating financial risk. Manage litigated files, analyze merits and quantum, and facilitate cost-effective settlements, often supporting lawyers and ensuring adherence to internal policies, procedures, and statutory requirements. Provide technical support, troubleshoot and resolve litigation system issues for our adjusters, lawyers, as well as evaluating coverage and liability claims. Interface with insureds, brokers and lawyers to resolve claims. The Legal Officer will be responsible for identifying valid claims by carefully analyzing the supporting documents and ensuring sufficient evidence is provided by the claimant to support claim. Negotiations of legal claims to reduce claim costs. Preparation of file notes. Actively identify fraudulent and suspicious claim activities, this would include fraudulent claims reporting and report to Legal Claims Manager. Coordinate with advocates and witnesses to ensure court attendance for all cases coming up for hearing and timely conclusion of matter, send out hearing notices where matters are actively in Court. Timely submission of Claims Reports. Follow up reports from the Liaise with external Counsel, brokers, agents and direct clients to providers as per the agreed SLAs. Ensure timely settlement of judgements to avoid execution by Auctioneers and further costs. Notifying the Legal Manager on any critical matters that become apparent at the claims stage. Negotiating with Third Party Advocates on out of Court settlements to save on operational costs and minimize risk/ cases against the company. Extensive legal research and opinion writing on claims settlement relating to employer's liability, Product Liability, and personal auto lines, taking note of the policy wordings and contracts. Prepare monthly reports on outstanding legal matters/files. Periodic review of pending cases and contact insureds, agents and vendors to determine progress and status. Coordinate and conduct investigations into third party injury/property damage claims to determine their validity, legality and adherence to policy terms. Ensure that all legal claims assigned to you are adequately reserved as per the Reserving policy.
