Claims Consultant - Miscellaneous and Allied Health Professional Liability

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 the role

We’re determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals – and to help others accomplish theirs, too. Join our team as we help shape the future.

Qualifications

• 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