Complex Claims Consultant EPL Claims Specialist

Contract position based in New York, NY. Anticipated to close on Aug 14, 2026.

About the role

This is a fully remote Claims Consultant role focused on Employment Practices Liability (EPL) claims. The position involves managing an inventory of complex EPL claims, ensuring exceptional customer service, and handling a significant volume of cases—approximately 2 to 3 new claims per day or 10 claims per week. Successful performance may lead to opportunities handling litigated claims.

Responsibilities

• Manage an inventory of complex Employment Practice Liability claims, verifying policy coverage, conducting investigations, and developing resolution strategies within company protocols.
• Ensure exceptional customer service by managing all aspects of the claim, interacting professionally, achieving quality and cycle time standards, and providing timely updates.
• Verify coverage and establish timely reserves by reviewing policy language, partnering with coverage counsel on complex matters, and estimating claim valuation.
• Lead focused investigations to determine compensability, liability, and covered damages by gathering documents, taking recorded statements, and working with experts or other parties.
• Resolve claims by collaborating with internal and external partners to develop and execute resolution strategies, including negotiating settlements and managing litigation.
• Establish and manage claim budgets, achieving timely resolution, overseeing resources, and authorizing expense payments efficiently.
• Identify subrogation/salvage opportunities or potential fraud and make referrals for further investigation.
• Maintain quality standards by ensuring adherence to company protocols, accurate and timely work, proper documentation, and prompt claim resolution.
• Keep senior leadership informed of significant risks and losses through loss summaries, oversight/watch lists, and succinct presentations.
• Communicate with attorneys and brokers, acknowledge and assign EEOC charges, and monitor files to closure, including potential settlement discussions.

Requirements

• Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
• Strong communication and presentation skills, both verbal and written, including the ability to convey business and technical information clearly.
• Demonstrated analytical and investigative mindset with critical thinking skills to evaluate and resolve complex business problems.
• Strong work ethic with proven time management and organizational skills to handle significant volume.
• Ability to work in a fast-paced environment at high levels of productivity.
• Experience negotiating complex settlements and interpreting specialty insurance policies.
• Ability to manage multiple and shifting priorities in a challenging environment.
• Proficiency in Microsoft Office Suite and ability to learn business-related software.
• Demonstrated ability to value diverse opinions and ideas.

Skills

• Claims processing
• Insurance claim handling
• Negotiation skills
• Litigation skills (potential for future role advancement)
• Insurance license (preferred)
• Guidewire (preferred)

Pay

The pay range for this position is $38.46 - $52.88 per hour.

Benefits

Eligibility requirements apply to some benefits and may depend on job classification and length of employment. Benefits are subject to change and may include:

• Medical, dental, and vision insurance
• Critical Illness, Accident, and Hospital coverage
• 401(k) Retirement Plan (Pre-tax and Roth post-tax contributions available)
• Life Insurance (Voluntary Life & AD&D for employee and dependents)
• Short-term and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation, or Sick Leave)