Claims Director, Professional Lines Medical and Non-Medical, Hamilton Select

About the role

We’re looking for a Claims Director, Professional Lines Medical and Non-Medical, based in Hamilton Select. The role is remote or based in Richmond, Virginia or the tri-state area, reporting to a Claims Manager based in Richmond.

Responsibilities

• Directly handle high-exposure professional lines claims, including Allied Medical, Medical Professionals, Errors and Omissions, and Management Liability matters on both primary and excess policies.
• Review claims and related systems and processes.
• Understand and analyze policy language and contracts.
• Provide coverage, liability, and damages analysis for claims and ensure timely reserving and appropriate legal and indemnity payments.
• Develop and document claim strategy for complex professional liability matters, including regulatory, licensing, credentialing, standard-of-care, causation, damages, and consent-to-settle considerations where applicable.
• Draft disclaimers and reservation of rights letters.
• Negotiate settlements, mitigate losses, and control expenses.
• Adhere to Claims Best Practices, Key Controls, and file handling requirements.
• Maintain a high level of communication with leadership and underwriting partners.
• Identify trends, emerging exposures, procedural improvements, and underwriting feedback from claim activity.
• Present to management, support peer development, mentor new staff, and assist with organization-wide initiatives and improvement strategies for claims and business units.
• Ensure appropriate reports are timely prepared and disseminated.
• Ensure successful implementation of key organization-wide initiatives and improvement strategies for claims and our business units.
• Support other functional groups within the organization.
• Ensure compliance with internal corporate guidelines, processes and procedures.

Requirements

• 5+ years of experience, with progressive claims handling, litigation management, or related insurance industry experience, with a demonstrated history of increasing responsibility.
• Experience handling claims in the Excess and Surplus market preferred.
• Experience handling professional lines claims, including Allied Medical, Medical Professionals, Errors and Omissions, and Management Liability is strongly preferred.
• Experience working with complex coverage issues required.
• Multi-jurisdictional claims and litigation experience required.
• Adjuster license and or certifications desired, but not required.
• Bachelor’s degree or equivalent experience, JD desirable.
• Highly advanced knowledge of claim processes, policies, procedures, claim systems, regulation, coverage, liability, damage evaluation, and/or settlement with exposures in excess of $1M.
• Strong negotiating, analytical, written, and organizational skills.
• Mediation and arbitration experience preferred.
• Strong computer skills (Microsoft Office Suite, SharePoint, and in-house claims systems).
• Ability to prioritize and manage deadlines.
• Ability to work both independently and collaboratively as part of a team.
• Excellent at establishing close working relationships with other departments, including underwriting, operations, finance, IT, actuarial and legal.

Conduct Standards

• Act with integrity.
• Act with due skill, care and diligence.
• Be open and cooperative with the FCA, the PRA and/or other relevant regulators.
• Pay due regard to the interests of customers and treat them fairly.
• Act to deliver good outcomes for retail customers.

What you can expect from us

• A vibrant, entrepreneurial, and collaborative culture guided by our values: Be Smart, Be Sensible, Be Open and Be More.
• A competitive salary with an annual performance-based target bonus and a comprehensive benefits package, to include:
• Matching 401K plan
• Medical, dental, vision, life, disability
• Generous time off (including parental leave)
• Continued support for professional development
• Gym subsidy
• My day (additional days leave for personal interests/wellness/charity work)