Job Description

Complex Claims Specialist (MPL)

Job Summary

Seeking a highly skilled and experienced Complex Claims Specialist to join a dynamic and growing claims team. This individual will be responsible for managing Miscellaneous Professional Liability (MPL) claims from inception to resolution, including negotiation and settlement. The role requires a proactive approach to claims handling, collaboration with internal and external stakeholders, and the ability to mentor and guide other team members.

Compensation Package

• Salary Range:
  • $125,000 - $155,000 (Boston, Manhattan, West Hartford) + Bonus
  • $125,000 - $135,000 (Chicago, Atlanta) + Bonus
• Comprehensive benefits package, including:
  • 401(k) with competitive company matching

Responsibilities

• Manage and resolve complex to severe MPL claims, including all phases of litigation.
• Draft complex coverage letters, such as reservation of rights and denial letters, with minimal supervision.
• Review and analyze claim documentation and legal filings.
• Lead defense strategies on litigated files and drive litigation best practices.
• Mentor and train claims examiners to enhance team capabilities.
• Investigate, negotiate, and utilize alternative dispute resolutions to achieve positive claim outcomes.
• Identify emerging exposures, claims trends, and suspected fraudulent claims.
• Maintain accurate and compliant documentation of claim files.
• Develop and deliver training content for claims team and underwriters.

Qualifications/Requirements

• 8+ years of claims handling experience or 7-8 years of litigation experience. (A JD from an ABA-accredited law school may be considered as a supplement to claims handling experience.)
• Proven ability to positively influence complex claims outcomes through investigation, negotiation, and litigation leadership.
• Advanced knowledge of coverage within the MPL specialty or focus.
• Strong understanding of litigation processes and negotiation strategies.
• Experience mentoring and training claims professionals.
• Excellent verbal and written communication skills.
• Advanced analytical and problem-solving abilities.
• Bachelor’s degree from an accredited college or university preferred.

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