Senior Claims Professional
Core
Investigating, evaluating, negotiating, and resolving complex casualty and professional liability insurance claims for small and medium-sized businesses, financial institutions, and professional service providers.
Role type
Senior Claims Professional (Casualty & Professional Liability)
Builds
Favorable claims outcomes and minimized financial exposure for insureds and carriers
Domain
Insurance / Claims Management
Deliverable
client delivery
Required skills
Claims lifecycle management, coverage analysis, liability assessment, negotiation, litigation management, policy interpretation, risk identification, stakeholder collaboration
Preferred skills
Independent decision-making, advanced analytical abilities, industry best practices application
Technologies
None stated
Responsibilities
Manage casualty and professional liability claims throughout the entire claims lifecycle, from initial notification and investigation through negotiation, litigation, and final resolution. Investigate and evaluate claims involving small and medium-sized businesses, including insurance brokers, real estate professionals, accountants, and financial institutions. Develop and implement independent claims strategies to achieve effective, timely, and commercially sound resolutions. Conduct comprehensive investigations, analyze available evidence, and assess liability, damages, and policy coverage to determine potential exposure. Review insurance policies and contractual provisions, interpreting coverage terms and preparing detailed coverage analyses based on the circumstances of each claim. Lead negotiations and utilize alternative dispute resolution methods to secure favorable outcomes while managing litigation exposure. Attend mediations, trials, and other legal proceedings as necessary to support effective claims resolution. Manage high-severity and complex claims, applying advanced technical expertise and sound judgment to minimize financial exposure and protect insured interests. Identify emerging risks, recurring claims patterns, and potential liability exposures, recommending appropriate strategies and improvements.
Seniority
Senior, hands-on IC