Professional Liability Claims Advisor

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

📋 Description

• Oversee and manage professional liability claims, including those that are highly complex and severe.

• Facilitate case management in accordance with company standards, industry best practices, and client service expectations.

• Investigate and collect information to assess claim exposure.

• Manage claims through action plans to ensure timely resolutions.

• Conduct or assign investigations and report on new events, claims, and legal proceedings.

• Negotiate claim settlements within the designated authority limits.

• Calculate, assign, and monitor claim reserves.

• Propose settlement strategies and structured settlement options.

• Perform coverage analysis and generate necessary correspondence.

• Coordinate legal defense, assign attorneys, review invoices, and ensure compliance from counsel.

• Implement cost containment strategies and establish strategic vendor partnerships.

• Investigate potential fraud, subrogation, contribution, recovery, and case management opportunities.

• Represent the company in depositions, mediations, and trial monitoring as required.

• Communicate claim activities with clients while maintaining professional relationships.

• Ensure that claim files are accurately documented and that claim coding is correct.

• Refer cases to supervisors and management when appropriate.

• Delegate tasks and mentor other team members.

⛳️ Requirements

• High School Diploma or GED is required.

• Bachelor's degree from an accredited college or university is preferred.

• Professional certification relevant to the line of business is preferred.

• 3–5 years of experience in professional liability claims management is required.

• Ability to think clearly and conceptually.

• Strong judgment, troubleshooting, problem-solving, analytical skills, and discretion.

• Capability to manage work-related stress effectively.

• Ability to handle multiple priorities at the same time.

• Ability to meet deadlines.

• Proficient in computer keyboarding.

• Willingness to travel as needed.

🏝️ Benefits

• Flexible work schedule.

• Referral incentive program.

• Opportunity to work in an agile environment.

• Career development and promotional growth opportunities.

• Medical, dental, and vision benefits starting on day one.

• 401K available from day one.

• 401k matching.

• Paid Time Off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance programs.

• Flexible spending account or health savings account.

• Additional voluntary benefits available.

• Reasonable accommodations provided.

• Emphasis on work-life balance.

• Opportunities for professional development.