Job Description

Senior Complex Claims Specialist (Professional Liability)

Job Summary

Seeking a highly skilled and experienced Senior Complex Claims Specialist to join a dynamic and innovative Claims team. This role involves managing high-severity primary Professional Lines claims, including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims, from inception to resolution. The successful candidate will play a pivotal role in shaping insurance products, collaborating with business leaders, and providing technical support to the claims team. This is a hybrid position requiring in-office presence two days per week.

Compensation Package

• Salary Range:
  • $150,000 - $160,000 (Boston, Manhattan, West Hartford) + Bonus
  • $125,000 - $135,000 (Chicago, Atlanta) + Bonus
• Benefits Include:
  • 401(k) with competitive company matching

Responsibilities

• Manage high-severity Professional Liability claims, including investigation, negotiation, and resolution.
• Draft complex technical coverage analyses and correspondence.
• Act as a subject matter expert within the claims team.
• Model best practices for litigation and ensure file integrity.
• Utilize alternative dispute resolution methods and identify cases for trial when necessary.
• Identify and address emerging exposures and claims trends.
• Collaborate with internal and external stakeholders, including underwriters, legal counsel, and external experts.
• Mentor and provide training to team members, contributing to their professional development.
• Develop and deliver training content for claims teams and underwriters.
• Maintain accurate and compliant documentation of claim files.

Qualifications/Requirements

• Minimum of 10 years of experience in Professional Liability and/or Specialty claims handling.
• Bachelor’s degree required; JD from an ABA-accredited law school is preferred.
• Proven ability to manage high-severity claims and achieve positive outcomes through investigation, negotiation, and litigation.
• Expert knowledge of Professional Liability coverage and litigation processes.
• Strong analytical, verbal, and written communication skills.
• Demonstrated ability to mentor and train team members.
• Ability to work effectively in a fast-paced and dynamic environment.
• Must obtain adjuster licensing within 90 days of employment.

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