Claims Consultant Corporate

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.

• 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