Overview:

The Senior Professional Liability Claims Examiner is responsible for investigating, evaluating, and resolving complex Professional Liability claims, including errors and omissions (E&O), legal malpractice, accountants, consultants, and other professional service providers. This individual will manage a caseload of high-severity claims from inception to conclusion, ensuring prompt and fair resolution while mitigating exposure and maintaining strong customer relationships.

Benefits:

• $120,000 - $160,000/year
• Up to 10% target bonus based on company and personal performance

Qualifications:

• Bachelor’s degree required; Juris Doctor (JD) or other advanced degree preferred but not required.
• 5–10+ years of Professional Liability (E&O) claims handling experience, preferably with an insurance carrier.
• Strong knowledge of professional liability coverage, policy forms, and applicable laws.
• Proven experience managing complex litigated claims and working with defense counsel.
• Excellent negotiation, analytical, and decision-making skills.
• Strong written and verbal communication skills.
• Ability to manage competing priorities in a fast-paced environment.
• Adjuster’s license(s) a plus (or willingness to obtain if required).

Day-to-day: The successful candidate will work with third party administrators, participate in client set-up meetings, attend mediations and trials, and assist in the risk selection process. They will also be responsible for identifying loss trends and resolving any claims or service issues that arise.

Responsibilities:

• Handle a caseload of moderate to high-severity professional liability claims across multiple jurisdictions.
• Conduct thorough investigations including coverage analysis, liability and damages assessment, and evaluation of legal and contractual issues.
• Review and analyze claim reports, legal documents, expert opinions, and other relevant materials.
• Establish and maintain accurate reserves in accordance with company guidelines.
• Develop and execute strategic plans for effective claims resolution, including negotiation and settlement.
• Engage and oversee defense counsel, independent adjusters, and other vendors; provide clear direction and oversight.
• Maintain consistent and professional communication with insureds, brokers, attorneys, claimants, and internal stakeholders.
• Attend mediations, settlement conferences, and trials when necessary.
• Ensure timely and accurate documentation of claim activities in the claim system.
• Stay current with legal trends, policy forms, and regulatory changes within Professional Liability.
• Provide mentorship and technical guidance to junior claims staff as needed.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion. 

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