Complex Claims Specialist - Misc. Professional Liability

Complex Claims Specialist - Miscellaneous Professional Liability (MPL)

Job Summary

Seeking a highly skilled and experienced Complex Claims Specialist to join a dynamic and innovative Claims team. This role focuses on managing mid to high-severity primary Miscellaneous Professional Liability (MPL) claims, including those involving insurance agents, property managers, tax preparers, and various consultants. As a key contributor, you will oversee all aspects of the claims and litigation process, collaborating with internal and external stakeholders to achieve optimal outcomes.

Compensation Package

• Salary Range: $125,000 - $155,000 annually
• Bonus: 10% performance-based bonus
• Benefits:
  • Comprehensive health, vision, dental, and FSA plans
  • Financial adoption assistance and medical travel reimbursement programs
  • Annual reimbursement of up to $600 for fitness programs or health club memberships
  • Company-paid subscription to Headspace for mental health and well-being
  • Modern office spaces with complimentary beverages
  • Recognition as a recipient of the 2024 Cigna Well-Being Award

Responsibilities

• Manage and resolve complex mid to high-severity MPL claims, including all phases of litigation.
• Draft complex coverage letters, including reservation of rights and denial letters, with minimal supervision.
• Analyze claim documentation and legal filings to determine appropriate resolutions.
• Lead defense strategies on litigated files, ensuring adherence to litigation best practices.
• Mentor and train team members to enhance their claims handling expertise.
• Investigate claims, negotiate settlements, and utilize alternative dispute resolution methods to achieve positive outcomes.
• Identify emerging exposures, claims trends, and suspected fraudulent claims, collaborating with the special investigations unit as needed.
• Maintain accurate and comprehensive documentation of claim files in compliance with company policies and regulatory requirements.

Qualifications/Requirements

• Minimum of 6 years of experience in Professional Liability and/or Specialty/Financial Lines claims handling.
• A Juris Doctor (JD) from an ABA-accredited law school may supplement claims handling experience.
• Proven ability to positively influence complex claims outcomes through investigation, negotiation, and litigation leadership.
• Advanced knowledge of coverage within MPL or related specialties.
• Strong understanding of the litigation process and advanced negotiation skills.
• Experience mentoring and training claims examiners.
• Excellent verbal and written communication skills.
• Advanced analytical and problem-solving abilities.
• Bachelor’s degree required; JD preferred.
• Adjuster licensing required within 90 days of employment.

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