Complex Claims Specialist - Misc. Professional Liability

Seeking a highly skilled and experienced Complex Claims Specialist to join a dynamic and innovative Claims team. This role focuses on managing mid to high-severity primary Miscellaneous Professional Liability (MPL) claims, including those involving insurance agents, property managers, tax preparers, and various consultants.

Compensation Package

• Salary Range: $125,000 - $155,000 annually
• 10% performance-based bonus
• Competitive benefits package, including 401(k) and paid time off
• Professional development opportunities

Responsibilities

• Manage and resolve complex mid to high-severity MPL claims, including all phases of litigation.
• Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision.
• Analyze claim documentation and legal filings to determine appropriate resolutions.
• Lead defense strategies on litigated files, ensuring adherence to litigation best practices.
• Mentor and train team members to enhance their claims handling expertise.
• Investigate claims, negotiate settlements, and utilize alternative dispute resolution methods to achieve positive outcomes.
• Identify emerging exposures, claims trends, and suspected fraudulent claims, collaborating with the special investigations unit as needed.
• Maintain accurate and comprehensive documentation of claim files in compliance with company policies and regulatory requirements.

Requirements

• Minimum of 6 years of experience in Professional Liability and/or Specialty/Financial Lines claims handling.
• A Juris Doctor (JD) from an ABA-accredited law school may supplement claims handling experience.
• Proven ability to positively influence complex claims outcomes through investigation, negotiation, and litigation leadership.
• Advanced knowledge of coverage within MPL or related specialties.
• Strong understanding of the litigation process and advanced negotiation skills.
• Experience mentoring and training claims examiners.
• Excellent verbal and written communication skills.
• Advanced analytical and problem-solving abilities.
• Bachelor’s degree required; JD preferred.
• Adjuster licensing required within 90 days of employment.