About the role
About Reserv
Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.
About the role
We are seeking an experienced and proactive Major Case Claims Resolution Specialist to oversee high-exposure, complex, and litigated claims involving serious injuries In this role, you will take ownership of the full claims lifecycle—from initial investigation through resolution—while managing litigation strategy and collaborating with defense counsel.
You’ll be a key point of contact for all stakeholders, including claimants, legal counsel, medical professionals, and internal teams. These files often involve layered policies, multi-party litigation, and sensitive negotiation. You will be empowered to shape case strategy, resolve complex coverage issues, and maintain a strong focus on timely, thoughtful outcomes.
This role also includes the opportunity to influence how we streamline and improve our processes by working closely with our product and engineering teams to deliver feedback from the frontlines of complex claim handling.
Location Requirement
Candidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.
What you'll do
Managing all aspects of litigated cases, including evaluation of the resolution process
Analyze auto claims to identify areas of dispute, investigating and gathering all necessary information and documentation, evaluating liability and damages and negotiating and resolving claims with opposing parties or their insurance providers
Manage litigation cases related to auto claims disputes, communicating regularly with clients, attorneys, vendors and other stakeholders
Review legal documents and ensuring compliance with initial suit-handling plan of action.
Analyze policy language and reaching appropriate coverage decisions.
Direct and control the activities and costs of outside vendors including defense counsel and coverage counsel, experts and independent adjusters
Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain any additional required licenses within 60 days, including state testing.
Qualifications
Bachelor's degree (lack of one should not stop you from applying if you possess all the other qualifications)
10+ years of claim handling experience, with 5+ of those years handling a pending of >60% in litigation
Experience with Commercial Auto is Required
You are not intimidated by an attorney, even if you are not one! You are the driver of the litigation strategy for any particular claim. You manage the discovery in the order and timing of events and hold attorney accountable
Having an understanding of transportation coverages, contractual risk transfers, and additional insured forms
You have strong medical causation knowledge
You have a sense of urgency and understanding of how to manage time-sensitive demands
Ability and willingness to communicate both on the phone and in written form in a prompt, courteous, and professional manner
Strong analytical and negotiation skills. You will conduct your own negotiations directly with opposing counsel
Knowledge of multiple state statutes, including good faith claim handling practices, regulations, and guidelines
Ability to professionally collaborate with all stakeholders in a claim
Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain any additional required licenses within 60 days, including state testing.
Attention to detail, time management, and the ability to work independently in a fast-paced, remote environment
Curious and motivated by problem solving and questioning the status quo
Desire to engage in learning opportunities and continuous professional development
Willingness to travel for client and claims needs
Benefits
Generous health-insurance package with nationwide coverage, vision, & dental
401(k) retirement plan with employer matching
Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
Generous family leave policy after 8 months of continuous work
Work from anywhere to facilitate your work life balance
Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder!
Originally posted on Himalayas