Sr. Complex Claims Specialist, PL & Specialty Severity

Senior Complex Claims Specialist - Professional Liability & Specialty Severity

Job Summary

Seeking a highly skilled and experienced Senior Complex Claims Specialist to join a dynamic and forward-thinking Claims team. This role focuses on handling high-severity primary Professional Lines claims, including Miscellaneous Professional Liability, A&E, Allied Health, and Media claims, from inception to resolution. As a key contributor, will provide technical expertise, collaborate with internal and external stakeholders, and mentor team members to ensure superior claims handling and outcomes.

Compensation Package

• Salary Range: $140,000 - $170,000 annually
• Bonus Structure: Up to 10% of base salary
• Benefits Include:
  • Comprehensive health, vision, dental, and FSA plans
  • Financial adoption assistance and medical travel reimbursement programs
  • Annual reimbursement of up to $600 for fitness programs
  • Modern office spaces with complimentary beverages

Responsibilities

• Manage high-severity claims and draft complex technical coverage analyses and correspondence.
• Act as a subject matter expert within the team, providing guidance and mentorship to colleagues.
• Lead litigation processes, negotiate settlements, and utilize alternative dispute resolution methods to achieve positive outcomes.
• Identify and address emerging exposures and claims trends.
• Collaborate with underwriting and other business units to enhance product innovation and claims handling processes.
• Ensure compliance with company policies and regulatory requirements by maintaining accurate and detailed claim documentation.
• Develop and deliver training content for claims team members and underwriters.

Qualifications/Requirements

• Experience: Minimum of 10 years in Professional Liability and/or Specialty claims handling.
• Education: Bachelor’s degree required; JD from an ABA-accredited law school preferred.
• Proven ability to manage high-severity claims and lead litigation processes effectively.
• Expert knowledge of Professional Liability coverage and litigation processes.
• Strong analytical, negotiation, and communication skills.
• Demonstrated ability to mentor and train team members.
• Adjuster licensing required or ability to obtain within 90 days of employment.

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