Claims Consultant – Accountants and Professional Liability

Claims Consultant – Accountants and Professional Liability

Requirements

• Juris Doctorate degree required.
• Minimum of three years handling third-party Professional Liability insurance defense or Professional Liability coverage litigation.
• Familiarity and experience with AI-powered tools, such as Microsoft Copilot, is a plus.
• Candidates are required to have knowledge and experience handling all aspects of liability claims.
• Excellent oral and written communication skills.
• Excellent strategic thinking ability and execution skills.
• Excellent negotiation and advanced technical claim handling skills. Knowledge of insurance coverage issues a plus.
• Superior time, task prioritization and desk management skills.
• An ability to communicate thoughts clearly and concisely, and to influence and persuade others.
• Ability to work independently and employ a ‘team player’ attitude.

Responsibilities

• Conducting investigations and analyzing and evaluating the information learned.
• Appropriately and accurately analyzing and determining coverage, liability and damages based upon the facts of each claim.
• Writing and communicating to insureds in regard to coverage, liability, damages and other issues.
• Setting appropriate expense and indemnity reserves and monitoring on a regular basis for any needed adjustment.
• Presenting cases to management for expense or indemnity reserve authority above established authority levels.
• Developing and implementing resolution strategies through negotiations to achieve high quality outcomes.
• Proactively managing litigation and counsel, inclusive of litigation planning and execution, budgeting and bill review.
• Understanding and analyzing potential extra-contractual liability as needed.
• Attending trials and mediations as necessary.
• Contributing to broader claim and enterprise goals by participating in audits, projects, training and product development initiatives.
• Preparing comprehensive reports and delivering presentations to senior claim leadership on case developments, policy issues, industry trends, etc.
• Providing support and working collaboratively with business partners to evaluate and address claim trends and developments.
• Addressing inquiries from agents and policyholders, providing superior customer service.
• Providing key training and marketing support to Underwriters.

Preferred Qualifications

• Familiarity and experience with AI-powered tools, such as Microsoft Copilot, is a plus.