Job Details

The Senior Claims Representative is responsible for managing a caseload of professional liability claims from intake through resolution, including both litigated and non-litigated matters. The role involves detailed coverage evaluation, strategic claim handling, and close collaboration with defense counsel, insureds, and internal stakeholders.

Job Description

• Manage a desk of miscellaneous professional liability claims of varying complexity across multiple professions
• Handle both litigated and non-litigated claims from inception through resolution
• Analyze coverage and identify risk transfer opportunities where applicable
• Establish and adjust reserves in line with claim exposures
• Oversee litigation strategy, including expert selection, budgeting, and coordination with defense counsel
• Develop and execute claim resolution strategies, including settlement evaluation and negotiations
• Participate in mediations and settlement discussions within authority levels
• Draft detailed coverage letters and maintain consistent communication with internal and external stakeholders
• Monitor and manage allocated loss adjustment expenses, including bill review and payment coordination
• Maintain accurate and compliant claim file documentation
• Ensure adherence to regulatory and licensing requirements
• Attend mediations, trials, or meetings as needed (occasional travel required)

• Bachelor's degree required
• Active adjuster license required
• 3+ years of experience handling professional liability claims
• Prior experience managing litigated claims
• Strong coverage analysis and coverage letter drafting experience
• Excellent negotiation and litigation management skills
• Strong written and verbal communication abilities
• Highly organized with the ability to manage multiple priorities in a fast-paced environment
• Ability to work independently while collaborating in a virtual team setting
• Proficiency with Microsoft Office and standard claims systems
• Industry designations (AIC, SCLA, CPCU) preferred; Juris Doctorate a plus
• Strong attention to detail and sound judgment in complex or sensitive situations