Job Description

Senior Claims Representative - Professional Liability

Job Summary

Seeking a highly skilled and experienced Senior Claims Representative to join a team. In this role, you will be responsible for managing a diverse portfolio of miscellaneous professional liability claims, including both litigated and non-litigated cases. This position requires a strong understanding of coverage analysis, claim resolution strategies, and litigation management.

Compensation Package

• Salary Range: $110,000 - $140,000 annually
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Manage an active desk of litigated and non-litigated claims of varying complexity under miscellaneous professional liability coverages.
• Evaluate coverage issues, identify risk transfer opportunities, and draft detailed coverage letters.
• Recognize exposures and ensure reserves are adequate and timely.
• Proactively manage claim resolution, including forming and implementing resolution strategies, settlement valuation, and obtaining settlement authority.
• Manage litigation by selecting appropriate experts, planning, budgeting, and partnering with defense counsel.
• Actively participate in mediations, trials, and other related meetings as needed.
• Maintain adjuster licenses as required and ensure compliance with established guidelines.
• Document claim files thoroughly and accurately.
• Manage allocated loss adjustment expenses through strategic handling and bill review/payment processing.

Qualifications/Requirements

• Education:

  • Bachelor’s degree (BA/BS) required.
  • Industry designations such as AIC, SCLA, or CPCU are a plus.

• Experience:

  • Minimum of 3+ years of experience handling professional liability claims preferred.
  • At least 2 years of experience managing an active desk of litigated and non-litigated claims.
  • Experience with Errors & Omissions (E&O) claims is required.
  • Experience with Employment Practices Liability Insurance (EPLI) is highly desired.

• Licenses:

  • Active adjuster license in at least one state is required.

• Skills:

  • Strong analytical, organizational, and time management skills.
  • Excellent written and verbal communication skills.
  • Ability to work independently and meet deadlines in a fast-paced environment.
  • Proficiency in MS Word, Excel, and internet applications.
  • Strong negotiation skills and the ability to execute sound judgment in sensitive situations.
  • Highly attentive to detail and able to prioritize tasks effectively.

Preferred Knowledge

• Prior experience handling litigated claims.
• Familiarity with managing claims for a variety of professions, including real estate agents, insurance agents, lawyers, accountants, and more.
• Ability to work collaboratively in a virtual office environment.

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