Role SummaryThis is a senior-level claims and litigation management role focused specifically on Employment Practices Liability (EPL) within a healthcare-related environment. The person in this role will own assigned EPL claims end-to-end - determining coverage, investigating allegations, assessing liability and financial exposure, directing defense counsel, negotiating settlements, and reporting significant claims and risk trends to senior leadership.
This is not a general HR or general claims processing position. It requires someone who has directly handled EPL matters (as a claims professional or as an attorney defending employers) and who understands the full lifecycle of a legal claim, from initial investigation through litigation and resolution.
Key Responsibilities- Manage assigned EPL claims from initial investigation through final resolution
- Analyze and determine whether claims are covered, identifying any coverage issues
- Investigate allegations by interviewing/corresponding with attorneys, employees, witnesses, and business stakeholders
- Assess potential legal and financial exposure for the organization
- Work with and direct defense counsel on litigation strategy and activities
- Negotiate settlements and claim resolutions with defense counsel, plaintiff attorneys, and stakeholders
- Determine when claims should be denied, settled, or otherwise resolved
- Report significant claims, exposure, and trends to senior leadership with recommendations
- Coordinate referrals and updates with reinsurers
- Monitor and attend (as needed) cases proceeding to mediation, arbitration, or trial
- Identify risk trends and recommend strategies to reduce future loss exposure
Requirements- 10+ years of experience in Employment Law, Risk Management, Insurance, or related Employment Practices Liability work
- Direct experience handling EPL claims as a claims professional, or defending EPL claims as an attorney
- Strong understanding of the claims/litigation lifecycle: investigation, coverage, liability assessment, litigation, negotiation, and resolution
- Strong negotiation skills with defense counsel, plaintiff attorneys, business stakeholders, and insurance/reinsurance parties
- Strong legal/risk judgment in evaluating liability likelihood and potential financial exposure
- Bachelor's degree
- Experience managing or directing outside defense counsel in employment-related litigation
- Experience presenting significant claims, exposure, or trends to executive leadership
- Experience in a healthcare organization (preferred)
- Experience handling management liability claims such as D&O or professional liability alongside EPL (preferred)
