Claims Consultant Corporate

Senior Claims Specialist

This is a senior level role focusing on claims brought against lawyers and law firms involving Lawyers Professional Liability (LPL) policies, from first notice to conclusion, with a range of severity and complexity from low to high.

Job Responsibilities

• Review and document activity for assigned claims, including coverage evaluation, investigation, and consideration of multiple factors to assess potential liability and exposure
• Develop working knowledge of policy forms, industry trends, and issues common to lawyers professional liability insurance and claims
• Regularly identify and appropriately address relevant coverage issues
• Draft insurance coverage correspondence and reports
• Maintain professional relationships with internal and external audiences
• Identify and refer files necessitating escalated review as appropriate to claims management
• Develop action plans on assigned files to secure appropriate and timely resolution
• Negotiate and settle claims with appropriate oversight by the claims management
• Review, evaluate, request, and assign timely and appropriate reserves from file inception to resolution with appropriate oversight by claims management
• Assign, coordinate, and manage outside counsel and vendors with appropriate claims management oversight
• Review and audit attorney and vendor invoices consistent with Company guidelines
• Independently conduct prompt and thorough investigation of low to high severity claims and evaluate coverage, liability, and damages throughout the life of a claim
• Independent drafting of coverage related correspondence, internal reports, and reports to reinsurers
• Participate in mediations and settlement negotiations to resolve claims, including higherseverity claims, with minimal oversight
• Thoughtful, concise, and effective written and verbal communication with claims management and underwriting partners regarding significant claims, reserve recommendations, claim related trends, and industry developments with minimal oversight
• Demonstrate leadership visibility and engagement with employees, claims management, underwriting partners through regular and meaningful interactions or meetings
• May work with claims management and other internal and external partners to develop and implement procedures to improve claim workflow efficiency while preserving process controls
• Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

Qualifications

• Juris Doctor degree from an accredited law school
• Minimum 10 years of relevant insurance, claims-related, or law firm experience preferred
• Obtain adjuster license(s) or agree to obtain adjuster license(s) and additional training as necessary or required to complete claims handling responsibilities with moderate training, mentorship, and oversight by claims management
• Exemplary analytical, interpretive, problem-solving, and critical thinking skills with ability to make sound decisions and effectively evaluate and resolve complex or challenging business problems
• Strong situational awareness, understanding the context and implications of a decision
• Exemplary writing and presentation skills with ability to convey complex technical information