Overview
This role manages a portfolio of complex professional liability claims, including Employment Practices Liability, Police Professional and Public Officials liability, and other civil rights claims. The position requires independent claim handling, strong analytical skills, and the ability to evaluate legal liability, coverage, and damages while delivering high-quality customer service to insureds, brokers, and internal stakeholders.
Responsibilities
- Independently investigate, evaluate, and manage professional liability claims from inception through resolution.
- Analyze coverage issues and determine applicability of policy terms, conditions, and exclusions.
- Establish appropriate reserves and adjust them as necessary based on claim developments.
- Develop and execute claim resolution strategies, including negotiation and settlement.
- Guide litigation strategy, including discovery, motion practice, mediation, and trial preparation.
- Attend mediations, settlement conferences, and trials as required.
- Evaluate liability and damages of exposure using legal, factual, and industry-specific knowledge.
- Provide accurate and timely financial forecasting on claims portfolios.
- Maintain proactive communication with insureds, brokers, and management.
- Deliver clear, concise, and timely claim updates and coverage determinations.
- Support underwriting teams with claim insights and loss trends.
- Ensure all claim handling adheres to regulatory requirements, internal guidelines, and best practices.
- Prepare reports for management, carriers, reinsurers, and auditors as needed.
- Identify emerging issues, trends, and exposures within the professional liability space.
- Provide feedback to underwriting and risk management on loss drivers and prevention strategies.
Requirements
- NYS Adjuster License required; multiple states preferred.
- JD degree preferred.
- 3-5 years of experience handling professional liability claims.
- Strong knowledge of claims practices, litigation processes, and insurance coverage.
- Experience managing complex and/or high-exposure claims.
- Demonstrated ability to work independently and make sound judgment decisions.
- Excellent negotiation, analytical, and organizational skills.
- Strong written and verbal communication skills.
- Proficiency with claims management systems and Microsoft Office suite.
Preferred Qualifications
- Experience in one or more specialty areas (e.g., Education, Public Entity, EPLI, E&O).
- Prior litigation experience or legal background.
- Familiarity with excess and surplus lines or specialty insurance markets.
- Exposure to reinsurance reporting and complex coverage issues.
Compensation & Benefits
- Pay Range: $95,000 - $135,000 Annual
- The pay range provided is made in good faith and based on the lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.
Benefits may include:
- Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
- Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
- Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more
Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.
Location
New York (NYS Adjuster License required; multiple states preferred).