Jobs · Customer Service

Lead Claims Advocate

Risk Strategies Company · United States · 2 mo ago
RemoteRemoteCustomer ServiceFull-time

Responsibilities

  • Manage complex and high-severity specialty claims involving Directors & Officers (D&O) Liability; Employment Practices Liability (EPL); Fiduciary Liability; Crime/Fidelity; Professional Liability / Errors & Omissions (E&O); Cyber.
  • Review claim notices, demand letters, subpoenas, regulatory investigations, and lawsuits to identify potential insurance coverage.
  • Report new matters under all applicable policies and assist clients with preservation of insurance rights.
  • Develop and execute claim strategies designed to maximize policyholder recovery.
  • Cookordination and manage communications among clients, insurers, defense counsel, coverage counsel, forensic firms, and other claim stakeholders.
  • Monitor insurer investigations, coverage positions, and claim handling activities to ensure timely and fair claim resolution.
  • Negotiate coverage disputes, defense cost advancements, settlements, and allocation issues with insurers.
  • Analyze policy language, endorsements, exclusions, and program structures to identify coverage opportunities and potential gaps.
  • Provide technical coverage analysis and guidance regarding management liability, professional liability, and cyber insurance policies.
  • Serve as a primary claims contact for assigned clients and broker teams.
  • Build and maintain trusted relationships with risk managers, general counsel, executives, finance leaders, and other client stakeholders.
  • Conduct claim reviews, stewardship meetings, and claim trend analyses for clients.
  • Provide proactive updates regarding claim developments, emerging exposures, and market trends.
  • Support new business opportunities by participating in client presentations, RFP responses, and prospect meetings.

Requirements

  • Bachelor's degree required; insurance certification preferred (e.g., CPCU, AIC)
  • JD preferred
  • 5-10 years of specialty claims handling experience
  • Strong coverage interpretation and litigation management skills
  • Strong knowledge of D&O, EPL, Fiduciary, Crime, E&O and Cyber insurance products
  • Strong client-facing and relationship management abilities
  • Excellent analytical and communication skills

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