Job Description

Major Case Consultant – Specialized Claims (Excess & Surplus Claims)

Job Summary

Seeking experienced claims professionals to join a Specialized Claims team as Major Case Consultants or Senior Major Case Consultants. This role focuses on managing complex, high-severity claims involving significant legal, financial, and reputational exposure. The ideal candidate will possess extensive claims handling expertise, strong analytical and negotiation skills, and the ability to independently manage intricate coverage issues and multi-party litigation.

Opportunities are available across several specialized claims areas, including General Liability, Excess & Surplus (E&S) Programs and Alternative Markets, and Cyber Claims.

Candidates will be considered for one of the following levels based on experience and qualifications:

• Major Case Consultant – Specialized Claims

• Senior Major Case Consultant – Specialized Claims

This position offers a fully remote work arrangement and the opportunity to collaborate with experienced claims professionals while contributing to the development of effective claims resolution strategies and operational improvements.

Responsibilities

• Independently investigate, evaluate, and negotiate complex, high-severity claims involving significant financial and legal exposure.

• Analyze policy coverage, liability, damages, and potential financial exposure to develop appropriate claims handling and resolution strategies.

• Establish and maintain accurate reserves based on comprehensive exposure assessments and sound financial judgment.

• Develop and execute litigation strategies, collaborating with defense counsel and other stakeholders to achieve effective claim resolutions.

• Manage complex coverage disputes, multi-party litigation, and claims involving multiple jurisdictions.

• Serve as a subject matter expert, providing guidance and mentorship to claims professionals on complex cases and best practices.

• Evaluate existing claims handling procedures and recommend improvements to training programs, operational workflows, and quality standards.

• Collaborate with underwriting and reinsurance teams to provide claims insights, support risk evaluation, and identify opportunities to refine policy language.

• Prepare detailed claims reports, coverage analyses, and recommendations for internal stakeholders.

• Identify process inefficiencies and implement strategies to improve consistency, accuracy, and overall claims handling effectiveness.

• Participate in special projects, industry events, and professional development initiatives to remain informed about emerging risks, regulatory developments, and industry best practices.

• Build and maintain productive relationships with internal teams, defense counsel, policyholders, and external business partners.

• Exercise independent judgment when addressing sensitive, high-exposure claims and complex coverage matters.

Qualifications/Requirements

• Bachelor's degree preferred; equivalent professional experience considered.

• Juris Doctor (JD) degree or equivalent legal and claims experience preferred.

• Professional insurance designations, such as CPCU or AIC, strongly preferred.

• Extensive experience managing complex, high-value insurance claims involving significant legal, financial, and reputational exposure.

• Strong background in one or more specialized claims areas, including General Liability, E&S Programs and Alternative Markets, or Cyber Claims.

• Demonstrated expertise in complex claims negotiation, settlement strategies, and dispute resolution.

• Advanced knowledge of insurance policy interpretation, coverage analysis, liability assessment, and regulatory requirements across multiple jurisdictions.

• Proven ability to develop litigation strategies, direct defense counsel, and manage complex legal proceedings.

• Strong financial acumen, including experience evaluating claim exposure, establishing reserves, and assessing potential settlement outcomes.

• Experience mentoring claims professionals and contributing to the development of claims handling procedures and best practices.

• Excellent written and verbal communication skills, with the ability to explain complex legal and technical matters clearly and professionally.

• Ability to prepare accurate, factual, and objective claims documentation and reports.

• Strong interpersonal skills with the ability to communicate effectively and professionally with a variety of stakeholders.

• Exceptional organizational and time-management skills with the ability to prioritize competing demands and manage complex workflows.

• Strategic problem-solving abilities, sound judgment, and the capacity to make informed decisions independently.

• Proficiency in claims management systems and related technology.

Compensation Package

Major Case Consultant – Specialized Claims

• Salary Range: $120,000 – $145,000 annually

• Bonus: 10% annual bonus opportunity

Senior Major Case Consultant – Specialized Claims

• Salary Range: $145,000 – $155,000 annually

• Bonus: 15% annual bonus opportunity

Additional Benefits

• Competitive benefits package

• Retirement savings plan

• Paid time off

• Professional development opportunities

• Fully remote work arrangement

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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