Senior Claims Specialist – Professional Liability, E&O, D&O, EPL

This is a fully remote position, open to applicants in Alabama, +46 more locations.

📋 Description

• Evaluate and handle complex or technically challenging professional liability claims by researching and collecting information to assess claim exposure.

• Oversee claims through well-structured action plans to ensure timely and appropriate resolutions.

• Conduct or delegate comprehensive investigations and provide investigation reports for new incidents, claims, and legal proceedings.

• Negotiate claim settlements within the specified authority limits.

• Calculate and assign timely and suitable reserves, while monitoring reserve adequacy throughout the claims process.

• Suggest settlement strategies and present structured settlement proposals as needed.

• Coordinate legal defenses by assigning attorneys, managing investigation support, reviewing attorney invoices, and ensuring compliance with client guidelines.

• Employ cost containment strategies and develop strategic vendor partnerships to minimize claim costs for clients.

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

• Communicate claim progress and processing with clients while maintaining professional relationships.

• Ensure accurate documentation of claim files and correct claims coding.

• Perform additional duties as assigned.

⛳️ Requirements

• A minimum of five (5) years of claims management experience or an equivalent combination of education and experience is required.

• Proficient written and verbal communication skills.

• Strong presentation skills.

• Proficient in PC applications including Microsoft Office products.

• Excellent negotiation skills.

• Ability to collaborate effectively in a team environment.

• Demonstrated ability to meet or surpass performance competencies.

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

• Required licenses as applicable.

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

• Computer keyboard proficiency.

• Capable of hearing, seeing, and speaking.

• Ability to think clearly and conceptually.

• Strong judgment and discretion.

• Capacity to meet deadlines.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401k plan with matching contributions.

• Paid Time Off (PTO).

• Disability insurance.

• Life insurance.

• Employee assistance programs.

• Flexible spending accounts or health savings accounts.

• Additional voluntary benefits.

• Work-life balance.

• Reasonable accommodations provided when applicable and appropriate.