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

About the role

Working remotely or based in Richmond, Virginia or the tri-state area and reporting to a Claims Manager based in Richmond, you will be responsible for the direct handling of high-exposure professional lines claims across Allied Medical, Medical Professionals, Errors and Omissions, and Management Liability, including both primary and excess placements. You will also assist with claim strategy, litigation management, coverage analysis, cross-functional communication, and mentoring of future claims adjusters. This could be a hybrid working position based in Richmond, VA, or the tri-state area, but we will consider a remote US location for appropriately qualified candidates.

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.
• Other duties as required by management.
• Some travel, as required for trials & mediations, etc.

Requirements

• 8+ years of 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.
• Observe proper standards of market conduct.
• Act to deliver good outcomes for retail customers.

Benefits

• Competitive salary with an annual performance-based target bonus.
• Comprehensive benefits package including medical, dental, vision, life, and disability coverage.
• Generous time off (including parental leave).
• Continued support for professional development.
• Gym subsidy.
• My day (additional days leave for personal interests, wellness, or charity work).