Claims Consultant - Miscellaneous and Allied Health Professional Liability

Job Details

Location: New York, NY
Category: Claim
Employment Type: Full time
Job Ref: R2625860-202

Responsibilities

• Conducting investigations and analyzing and evaluating the information learned
• Appropriately and accurately analyzing and determining coverage, liability and damages based upon the facts of each claim
• Writing and communicating to insureds in regard to coverage, liability, damages and other issues
• Setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment
• Presenting cases to management for expense or indemnity reserve authority above established authority levels
• Developing and implementing resolution strategies through negotiations to achieve high quality outcomes
• Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review
• Understanding and analyzing potential extra-contractual liability as needed
• Attending trials and mediations as necessary
• Contributing to broader claim and enterprise goals by participating in audits, projects, training and product development initiatives
• Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.
• Providing support and working collaboratively with business partners to evaluate and address claim trends and developments
• Addressing inquiries from agents and policyholders, providing superior customer service
• Providing key training and marketing support to Underwriters

Requirements

• Juris Doctorate strongly preferred
• Minimum of three years handling third-party Professional Liability insurance defense or Professional Liability coverage litigation required
• Experience handling bodily injury matters required
• Experience handling medical malpractice or allied health preferred
• Familiarity and experience with AI-powered tools, such as Microsoft Copilot, is a plus
• Candidates should be disciplined, results-oriented and able to focus on bottom line results
• Candidates are required to have knowledge and experience handling all aspects of liability claims
• Excellent oral and written communication skills
• Excellent strategic thinking ability and execution skills
• Excellent negotiation and advanced technical claim handling skills
• Knowledge of insurance coverage issues a plus
• Superior time, task prioritization and desk management skills
• An ability to communicate thoughts clearly and concisely, and to influence and persuade others

About Us

We believe every day is a day to do right.
And that belief has guided us for over 200 years. Showing up for people isn’t just what we do, it’s who we are. We’re devoted to finding innovative ways to serve our customers, communities and employees – continually asking ourselves what more we can do.