What are the responsibilities and job description for the SIU & Claims Attorney position at Continental General?
Job Overview
Join a reputable and rapidly expanding organization dedicated to making a positive impact in the lives of others. At Continental General, we pride ourselves on our commitment to excellence, offering competitive compensation, a culture that fosters learning and professional development, and a dynamic work environment. This is a hybrid role requiring three days in-office participation. We invite you to be part of our mission to support individuals through life insurance and long-term care (LTC) claims.
Continental General is actively seeking a seasoned Claims & SIU Attorney to enhance our legal and compliance efforts within our growing claims operations. The successful candidate will be instrumental in navigating contested and intricate claims, guiding fraud detection initiatives, and collaborating with our Special Investigations Unit (SIU). Candidates with a strong background in claims litigation, regulatory compliance, and fraud-related legal matters, particularly within LTC claims, are highly encouraged to apply.
Key Responsibilities
Continental General values professional development and offers various avenues for career advancement within a supportive environment.
Company Culture And Values
We foster a culture of inclusivity, innovation, and continuous improvement, ensuring our team members feel valued and empowered to make a difference.
Compensation And Benefits
We are considering candidates for both mid and senior-level roles. The compensation for mid-level candidates with 5 years of experience ranges from \(120,000 to \)150,000, while senior-level candidates with 8 years of experience can expect a salary between \(150,000 and \)180,000.
Note: Applicants must have the legal authorization to work in the U.S. without sponsorship. We are unable to sponsor or take over sponsorship of an Employment Visa.
Employment Type: Full-Time
Join a reputable and rapidly expanding organization dedicated to making a positive impact in the lives of others. At Continental General, we pride ourselves on our commitment to excellence, offering competitive compensation, a culture that fosters learning and professional development, and a dynamic work environment. This is a hybrid role requiring three days in-office participation. We invite you to be part of our mission to support individuals through life insurance and long-term care (LTC) claims.
Continental General is actively seeking a seasoned Claims & SIU Attorney to enhance our legal and compliance efforts within our growing claims operations. The successful candidate will be instrumental in navigating contested and intricate claims, guiding fraud detection initiatives, and collaborating with our Special Investigations Unit (SIU). Candidates with a strong background in claims litigation, regulatory compliance, and fraud-related legal matters, particularly within LTC claims, are highly encouraged to apply.
Key Responsibilities
- Provide expert legal counsel on complex and contested LTC and life insurance coverage disputes.
- Assess policy language, coverage, and liability concerns to facilitate fair and timely claim resolutions.
- Oversee appeals and disputes arising from denied or contested claims.
- Collaborate with the SIU team to offer legal guidance during fraud investigations.
- Advise on legal strategies for detecting, preventing, and addressing fraudulent activities.
- Ensure adherence to applicable fraud-related laws and regulations.
- Oversee litigation related to claims disputes, including collaboration with external legal counsel as necessary.
- Represent the company in mediations, arbitrations, and other legal proceedings.
- Develop legal strategies to mitigate risks and effectively resolve disputes.
- Monitor and interpret updates in state and federal insurance laws affecting claims practices.
- Ensure compliance of claims and fraud detection activities with relevant regulations.
- Aid in drafting and interpreting insurance policies, endorsements, and related documents.
- Provide guidance on policy language to reduce disputes and guarantee compliance.
- Educate claims professionals and SIU investigators on regulatory updates, fraud detection best practices, and legal risks.
- Collaborate with internal teams, including underwriting, compliance, and risk management, to align legal strategies with business objectives.
- Juris Doctor (JD) degree from an accredited law school.
- Active license to practice law in at least one U.S. jurisdiction.
- Minimum of 5 years of legal experience, specifically in insurance claims and fraud investigations.
- Proven expertise in handling contested claims, preferably within LTC or life insurance sectors.
- Experience advising on legal matters related to fraud detection and SIU operations.
- In-depth knowledge of state and federal insurance regulations.
- Strong analytical and problem-solving skills to address complex legal and claims-related issues.
- Exceptional communication and negotiation skills.
- Ability to collaborate effectively with cross-functional teams.
Continental General values professional development and offers various avenues for career advancement within a supportive environment.
Company Culture And Values
We foster a culture of inclusivity, innovation, and continuous improvement, ensuring our team members feel valued and empowered to make a difference.
Compensation And Benefits
We are considering candidates for both mid and senior-level roles. The compensation for mid-level candidates with 5 years of experience ranges from \(120,000 to \)150,000, while senior-level candidates with 8 years of experience can expect a salary between \(150,000 and \)180,000.
Note: Applicants must have the legal authorization to work in the U.S. without sponsorship. We are unable to sponsor or take over sponsorship of an Employment Visa.
Employment Type: Full-Time
Salary : $120,000 - $180,000
