Note: The job is a remote job and is open to candidates in USA. Triple-S is committed to providing meaningful job experiences and delivering high-quality healthcare. The Claims Legal Manager is responsible for leading litigation and claims management efforts, ensuring compliance, and providing strategic direction for the company's legal activities.
Responsibilities
- Oversee all litigation matters, including selection and referral of claims to internal or external counsel, and approval of key litigation strategies and documents (e.g., motions, briefs)
- Receive and respond to legal inquiries from claims staff, referring matters to internal or external counsel as needed
- Receive and manage complaints and investigations from regulatory bodies (e.g., OCS), referring matters to internal or external counsel as needed
- Identify and escalate high-risk litigations to TSM/GW, reporting on litigations with potential reputational risk or exposure over $1M
- As secretary of the Claims Committee, in charge of identifying and notifying the cases to be presented, develop their presentation to the committee in close collaboration with the adjusters and/or lawyers as required, and prepare and notify the meeting minutes as defined in the charter
- Collaborate with the Casualty Claims Manager to develop and implement litigation strategies, including adjustments, expert resources, and budgeting
- Evaluate the performance of external counsel and internal staff on an annual basis
- Supervise and manage internal counsel, ensuring effective and efficient delivery of legal services
- Oversee and ensure compliance with billing policies and procedures
Skills
- Juris Doctor
- Juris Doctor from an accredited institution, admitted to the bar in Puerto Rico and licensed to practice law in local and federal courts, with 10 years of experience and extensive knowledge of Property and Casualty Policies and Regulations
- Puerto Rico All Lines Insurance Adjuster License, preferable
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