Sr D&O Claims Consultant
pOur management liability claims team is currently seeking a Sr. Consultant Specialized Claims to join our growing team. This position can be fully remote or hybrid at one of claims office locations. This is a Tempo pieno/Exempt role. /p h3Position Overview: /h3 pThe Sr Consultant Specialized Claims is a senior claims expert responsible for managing the most complex and high-exposure specialized claims across the country, particularly in the areas of Directors Officers Liability, Employment Practices Liability, Fiduciary Liability, and Financial Institutions Liability. This role provides strategic oversight, expert guidance, and technical consultation, often involving field investigations and collaboration with internal and external stakeholders. /p pIn addition to direct claim handling, the Consultant supports policy development, reviews settlements from other adjusters, and implements direction from Claims Handling leadership. The position offers opportunities to deepen expertise in specialized lines of business and contribute meaningfully to claim outcomes through strategic decision-making and expert consultation. /p h3Responsibilities/Essential Functions: /h3 ul liIndependently manage the company’s most complex, high-severity claims with significant financial exposure, including sensitive investigations and litigated matters. /li liCollaborate with legal counsel and internal stakeholders to resolve high-profile cases and shape claims strategy. /li liRetain, manage, and direct counsel; develop litigation strategies including discovery, trial, and resolution planning. /li liRepresent the company at trials, mediations, settlement conferences, and arbitrations. /li liMaximize litigation outcomes through strategic oversight and documentation. /li liAnalyze root causes and develop solutions for complex claims; lead resolution strategies and negotiation protocols. /li liServe as a subject matter expert (SME), supporting departmental initiatives, projects, and policy development. /li liDraft and issue reservation of rights and coverage letters, including manuscript and ISO/non-ISO forms. /li liInterpret and apply commercial coverages and legal principles; oversee advanced risk assessments. /li liSet reserves and authorize payments at the highest authority level; demonstrate expert-level financial acumen. /li liOperate with broad discretion and autonomy in determining objectives, methods, and outcomes. /li liDirect litigation strategy, manage counsel budgets, and ensure alignment with company performance goals. /li liLead quality and process improvement initiatives for complex claims handling. /li liUtilize advanced tools and analytics to identify trends, correct data inconsistencies, and optimize claim outcomes. /li liOversee and lead negotiations for high-stakes claims; develop companywide negotiation strategies. /li liMake decisions with short- and long-term business impact; contribute to strategic planning and execution.
/li liConduct regular file reviews and ensure compliance with regulatory and internal standards. /li liMaintain and update record-keeping policies as technologies evolve; ensure proper data ingestion and labeling. /li liProtect PII and promote best practices across the organization; mentor others on compliance standards. /li liCoordinate with underwriting, product, legal, and external partners to ensure thorough claim evaluation. /li liDrive interdepartmental collaboration to resolve high-impact cases and improve outcomes. /li liLead communication strategies for escalated claims; serve as primary contact for high-profile matters. /li liBuild formal networks with key decision-makers; align communication with organizational goals. /li liProvide strategic guidance on negotiation, conflict resolution, and communication for all adjuster levels. /li liAttend industry events and contribute to thought leadership through white papers or special projects. /li liProvide technical guidance and training; collaborate with learning teams to develop advanced curricula. /li liEvaluate training effectiveness and recommend improvements; mentor junior adjusters. /li liMaintain current knowledge of industry trends, technologies, and regulatory changes. /li liApprove settlements and reserves beyond the authority of other adjusters; oversee technical work as needed. /li liCollaborate with product management to improve line-of-business loss results and coverage offerings. /li liMaintain appropriate state adjuster licenses and complete required continuing education to stay current with regulatory and industry standards. /li /ul h3Essential Skills and Experience: /h3 ul liTypically requires 12+ years of management liability or complex claims experience. /li liBachelor’s degree or equivalent experience required; JD and/or industry designations preferred. /li liExpert-level knowledge of applicable statutes, regulations, and case law for high-complexity claims with significant financial risk. /li liAdvanced technical expertise in specific lines of business or industry segments. /li liRecognized authority in negotiation and claims resolution; able to shape best practices and resolve the most complex claims. /li liDemonstrated ability to interpret and execute policies and strategies from senior leadership. /li liStrong written and verbal communication skills; able to handle sensitive issues and tailor messaging to diverse audiences. /li liSkilled in empathetic communication and selecting appropriate channels for stakeholder engagement. /li liDrafts clear, factual,
and objective work product without personal opinion. /li liProven ability to mentor and coach staff; regularly supports skill development and compliance understanding. /li liCapable of managing small projects and contributing to departmental initiatives. /li liMakes informed, confident decisions independently; understands financial and strategic implications. /li liExercises sound judgment and strategic insight in evaluating complex issues and outcomes. /li liHighly organized with strong time management skills; able to execute complex workflows and support others in developing these skills. /li liDemonstrates adaptability in changing environments and evolving priorities. /li liCultivates collaboration and teamwork across departments and levels. /li liRecognized authority in regulatory matters; expert in managing legal and reputational risks. /li liDevelops and implements empathetic customer service strategies; known for delivering exceptional service. /li liNavigates digital tools efficiently to support claim handling and reporting. /li /ul h3Core Capabilities: /h3 ul libAnalytical Reasoning: /bThe ability to identify problems, understand your impact, gather input and data, and develop an effective solution. /li libCustomer Centricity: /bMakes customers/clients and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations. /li libDigital Fluency: /bEffectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. /li libPersuasion and Influence: /bUses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations. /li libProfessional Insurance Acumen: /bDemonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization. /li libPlanning and Execution: /bPlans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines. /li /ul h3Physical Demands and Work Environment: /h3 ul liAbility to use a personal computer and other standard office equipment. /li liAbility to sit and/or stand for extended periods. /li liRequired to work on-site as needed. /li liAbility to travel as necessary. /li liAbility to work in a fast paced, changing or stressful environment. /li liAbility to perform work in a noisy/loud work environment. /li liMay be required to have and maintain sufficient home-based internet connection. /li /ul #J-18808-Ljbffr
/li liConduct regular file reviews and ensure compliance with regulatory and internal standards. /li liMaintain and update record-keeping policies as technologies evolve; ensure proper data ingestion and labeling. /li liProtect PII and promote best practices across the organization; mentor others on compliance standards. /li liCoordinate with underwriting, product, legal, and external partners to ensure thorough claim evaluation. /li liDrive interdepartmental collaboration to resolve high-impact cases and improve outcomes. /li liLead communication strategies for escalated claims; serve as primary contact for high-profile matters. /li liBuild formal networks with key decision-makers; align communication with organizational goals. /li liProvide strategic guidance on negotiation, conflict resolution, and communication for all adjuster levels. /li liAttend industry events and contribute to thought leadership through white papers or special projects. /li liProvide technical guidance and training; collaborate with learning teams to develop advanced curricula. /li liEvaluate training effectiveness and recommend improvements; mentor junior adjusters. /li liMaintain current knowledge of industry trends, technologies, and regulatory changes. /li liApprove settlements and reserves beyond the authority of other adjusters; oversee technical work as needed. /li liCollaborate with product management to improve line-of-business loss results and coverage offerings. /li liMaintain appropriate state adjuster licenses and complete required continuing education to stay current with regulatory and industry standards. /li /ul h3Essential Skills and Experience: /h3 ul liTypically requires 12+ years of management liability or complex claims experience. /li liBachelor’s degree or equivalent experience required; JD and/or industry designations preferred. /li liExpert-level knowledge of applicable statutes, regulations, and case law for high-complexity claims with significant financial risk. /li liAdvanced technical expertise in specific lines of business or industry segments. /li liRecognized authority in negotiation and claims resolution; able to shape best practices and resolve the most complex claims. /li liDemonstrated ability to interpret and execute policies and strategies from senior leadership. /li liStrong written and verbal communication skills; able to handle sensitive issues and tailor messaging to diverse audiences. /li liSkilled in empathetic communication and selecting appropriate channels for stakeholder engagement. /li liDrafts clear, factual,
and objective work product without personal opinion. /li liProven ability to mentor and coach staff; regularly supports skill development and compliance understanding. /li liCapable of managing small projects and contributing to departmental initiatives. /li liMakes informed, confident decisions independently; understands financial and strategic implications. /li liExercises sound judgment and strategic insight in evaluating complex issues and outcomes. /li liHighly organized with strong time management skills; able to execute complex workflows and support others in developing these skills. /li liDemonstrates adaptability in changing environments and evolving priorities. /li liCultivates collaboration and teamwork across departments and levels. /li liRecognized authority in regulatory matters; expert in managing legal and reputational risks. /li liDevelops and implements empathetic customer service strategies; known for delivering exceptional service. /li liNavigates digital tools efficiently to support claim handling and reporting. /li /ul h3Core Capabilities: /h3 ul libAnalytical Reasoning: /bThe ability to identify problems, understand your impact, gather input and data, and develop an effective solution. /li libCustomer Centricity: /bMakes customers/clients and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations. /li libDigital Fluency: /bEffectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes. /li libPersuasion and Influence: /bUses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations. /li libProfessional Insurance Acumen: /bDemonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization. /li libPlanning and Execution: /bPlans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines. /li /ul h3Physical Demands and Work Environment: /h3 ul liAbility to use a personal computer and other standard office equipment. /li liAbility to sit and/or stand for extended periods. /li liRequired to work on-site as needed. /li liAbility to travel as necessary. /li liAbility to work in a fast paced, changing or stressful environment. /li liAbility to perform work in a noisy/loud work environment. /li liMay be required to have and maintain sufficient home-based internet connection. /li /ul #J-18808-Ljbffr