Job Description

Job Title: Claims Consultant - General Liability & Excess Coverage

Job Summary:
The Claims Consultant will be responsible for managing and resolving complex General Liability (GL), Excess GL, and Professional Liability claims. This role requires a highly analytical individual with strong decision-making, negotiation, and communication skills. The ideal candidate will possess a deep understanding of insurance law, coverage analysis, and the claims resolution process, with a focus on ensuring compliance and timely, cost-effective outcomes.

Responsibilities:

• Analyze and resolve General Liability, Excess GL, and Professional Liability claims by gathering detailed information, evaluating coverage and exposure, and developing strategies for resolution.
• Assess liability and damages, reviewing pleadings, medical records, reserves, and negotiating toward resolution.
• Coordinate vendor activities, including litigation management and field investigations, ensuring alignment with claim strategy and timelines.
• Provide guidance and recommendations on coverage positions, case strategy, and negotiations, maintaining communication with insureds, attorneys, brokers, and other stakeholders.
• Maintain clear, accurate, and complete documentation in claims management systems, ensuring compliance with internal guidelines.
• Ensure adherence to state licensing requirements and continuing education for regulatory compliance.

Qualifications/Requirements:

• Bachelor's degree required; JD preferred.
• 5+ years of experience handling complex liability claims.
• Strong decision-making, negotiation, and analytical skills.
• In-depth knowledge of insurance law, including AI, CGL, AINS, and CPCU (preferred but not required).
• Proficiency in Microsoft Office Suite (Outlook, Word, Excel) and claims management systems.
• Excellent written and verbal communication skills.
• Ability to work independently and collaboratively as part of a team.
• Carrier background preferred, but TPA experience will be considered.

Compensation Package:

• Salary: $120K - $130K (based on experience).
• Competitive benefits package, including paid time off and professional development opportunities.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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