Claims Consultant Corporate

PMA Companies

$90K — $120K *
Legal & Accounting
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Juris Doctor degree from an accredited law school preferred
  • Minimum 10 years of relevant insurance, claims-related, or law firm experience preferred
  • Willingness to obtain adjuster license(s) with training and mentorship
  • Strong analytical, interpretive, problem-solving, and critical thinking skills
  • Excellent writing and presentation skills for conveying complex information
  • Proven situational awareness regarding decision-making contexts

Responsibilities

  • Review and document activity for assigned claims, assessing liability and exposure
  • Develop knowledge of LPL policy forms, industry trends, and related issues
  • Identify and address relevant coverage issues
  • Draft insurance coverage correspondence and internal reports
  • Maintain relationships with internal and external stakeholders
  • Develop action plans for timely claim resolution
  • Negotiate and settle claims with management oversight
  • Supervise and manage external counsel and vendors as necessary
  • Conduct thorough investigations of claims severity and evaluate coverage and liability
  • Participate in mediations and negotiations for claims resolution

Benefits

  • Access to mentorship and professional training programs
  • Opportunities for leadership engagement and visibility within the organization
  • Support for obtaining necessary licenses and ongoing education
  • Collaborative work environment with internal and external partners
  • Prominence in developing and implementing improved claims workflow efficiencies
Full Job Description
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 preferred
  • 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

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