Major Case Unit - CGL Claims Consultant

Major Case Consultant - Specialized Claims (CGL)

Job Summary

Seeking a highly skilled and experienced Major Case Consultant to join a Specialized Claims organization. This role involves managing the investigation, evaluation, negotiation, and resolution of complex, high-severity claims that represent significant exposures to the company. The ideal candidate will possess extensive technical expertise, a strong litigation management background, and the ability to collaborate effectively with professionals across various disciplines. This is a fully remote position, offering flexibility and the opportunity to work with a dynamic and innovative team.

Compensation Package

• Salary Range: $120,000 - $165,000 per year (targeting around $150,000)
• Benefits:
  • Medical, dental, vision, life, and disability insurance (effective Day 1)
  • Tuition reimbursement
  • 20 days of PTO
  • Company-paid holidays
  • Flexible work arrangements
  • Cultural Awareness Day in support of Inclusion, Diversity, and Equity (IDE)
  • On-site medical/wellness center (Worcester location only)

Responsibilities

• Lead complex case investigations and negotiate high-value claims independently.
• Analyze coverage, liability, and financial exposure, demonstrating mastery in reserving strategy and financial acumen.
• Manage litigation strategy and collaborate with defense counsel to develop tailored resolution strategies.
• Serve as a subject matter expert (SME) to mentor and support the development of other claim professionals.
• Evaluate and recommend improvements to training programs and claims handling standards.
• Provide relevant reporting to underwriting and reinsurance teams, and collaborate to refine policy language and underwriting risk selection.
• Streamline workflows and address inconsistencies in claims processes.
• Contribute to special projects and attend industry events to stay updated on best practices.
• Build and maintain strong relationships with internal and external business partners.

Qualifications/Requirements

• Education: Bachelor’s degree preferred; equivalent experience accepted. JD or equivalent legal/claims experience preferred. Industry designations (e.g., CPCU, AIC) strongly preferred.
• Experience:
  • Extensive experience handling highly complex, high-value claims with significant legal, financial, and reputational exposure.
  • Proven expertise in analyzing policy coverage, legal liability, and regulatory frameworks across jurisdictions.
  • Recognized authority in negotiation and resolution of complex claims.
  • Demonstrated ability to manage litigation strategy and direct counsel.
  • Experience mentoring others and contributing to the development of claims handling standards.
• Skills:
  • Strong written and verbal communication skills with the ability to simplify complex information.
  • Ability to draft clear, factual, and objective work products.
  • Skilled in selecting appropriate communication channels and demonstrating empathy across diverse stakeholder groups.
  • Highly organized with the ability to manage complex workflows and competing priorities.
  • Strategic thinker with sound judgment and the ability to make informed decisions independently.
• Technical Proficiency: Proficient in using a personal computer and standard office equipment.

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