Major Case Consultant, Specialized Claims

This is a fully remote position, open to applicants in United States.

📋 Description

• Take charge of intricate case investigations and negotiate substantial claims independently.

• Evaluate coverage, liability, and financial exposure, showcasing expertise in reserving strategies and financial insight.

• Oversee litigation strategies and create customized resolution plans alongside top-tier defense counsel.

• Act as a subject matter expert (SME) within the claims organization, aiding in the professional development of fellow claims professionals through direct mentorship and exemplifying best adjusting practices.

• Assess training initiatives and propose enhancements.

• Deliver pertinent reports to underwriting and reinsurance while collaborating with underwriting, agents, vendors, and legal teams to refine policy language and enhance underwriting risk selection.

• Optimize workflows and address inconsistencies.

• Participate in special projects.

• Attend industry events and continuing education seminars to remain updated on best practices.

• Cultivate and sustain strong relationships with business partners.

⛳️ Requirements

• Bachelor’s degree is preferred; equivalent experience is acceptable.

• Juris Doctor (JD) is preferred or equivalent legal/claims experience.

• Industry certifications (e.g., CPCU, AIC) are highly preferred.

• Extensive background in managing highly complex, high-value claims with considerable legal, financial, and reputational risks.

• Established authority in the negotiation and resolution of intricate claims.

• Proven expertise in examining policy coverage, legal liability, and regulatory frameworks across various jurisdictions.

• Demonstrated capability to manage litigation strategies and direct legal counsel.

• Experience in mentoring peers and contributing to the establishment of claims handling standards.

• Excellent written and verbal communication skills, coupled with the ability to simplify complex information and address sensitive matters with professionalism.

• Competence in producing clear, factual, and objective work products without personal opinion.

• Proficient in choosing appropriate communication channels and exhibiting empathy towards diverse stakeholder groups.

• Highly organized with a proven track record of managing complex workflows and competing priorities.

• Strategic thinker with sound judgment and the ability to make informed decisions autonomously.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health, dental, and vision insurance.

• Opportunities for professional development and continuing education.

• Flexible work arrangements.

• Retirement savings plan with employer matching.