Claims Director – Professional Liability

This is a fully remote position, open to applicants in Connecticut, +11 more states.

📋 Description

• Oversee the management of open claims and incident reports actively.

• Facilitate ongoing communication with carrier claims departments and adjusters.

• Inform Negley management and underwriting staff of important claim updates.

• Evaluate open files and question claim handling when necessary.

• Recognize issues that need escalation.

• Maintain awareness of claim status, litigation strategies, reserves, settlement activities, coverage concerns, and emerging loss trends.

• Act as the primary claims liaison for Negley with carrier partners, brokers, insured parties, defense counsel, and other stakeholders.

• Convert claims insights into enhanced underwriting decisions, improved account management, superior service, and better portfolio performance.

• Create and execute strategic plans and policies for claims operations.

• Offer leadership and direction to claims managers and teams.

• Supervise complex claims cases to ensure resolutions align with company standards and regulatory guidelines.

• Track claims metrics, spot trends, evaluate performance, and suggest process enhancements.

• Work in collaboration with underwriting and risk management teams.

• Manage departmental budgets, resources, and staffing levels.

• Ensure adherence to state and federal claims regulations.

• Cultivate and sustain relationships with reinsurers, legal teams, and external vendors.

⛳️ Requirements

• A Bachelor's degree in Business, Insurance, or a related discipline.

• Proven experience with professional liability, general liability, or other specialty liability claims.

• Over 5 years of leadership experience in claims management.

• A successful history of executing strategic initiatives and enhancing processes within claims operations.

• Familiarity with insurance carrier claims departments, adjusters, brokers, insured individuals, and senior management.

• Strong grasp of insurance coverage, litigation management, reserving, settlement strategies, oversight of defense counsel, and claims operations.

• Demonstrated capability to analyze claim data, identify critical issues, ensure follow-up, and communicate implications to underwriting and executive leadership.

• Excellent leadership, judgment, negotiation, analytical, organizational, and communication skills, both written and verbal.

• Strategic mindset with an emphasis on operational efficiency and risk management.

• Fluency in English is required.

• Preferred: Experience in behavioral healthcare, healthcare liability, human services, or other specialty casualty risks.

• Preferred: Knowledge of professional liability, general liability, directors and officers liability, sexual misconduct liability, and related specialty coverages.

🏝️ Benefits

• Medical insurance

• Dental insurance

• Vision insurance

• Life insurance

• Disability insurance

• AD&D insurance

• Tax-advantaged savings accounts

• 401(k) plan with company match

• Company holidays

• Vacation days

• Sick days

• New parent leave

• Restricted stock units for eligible positions

• Deferred compensation plan for eligible positions

• Additional incentive pay