Claim Counsel – D&O/Professional Liability

Jobtailor; Deutschland; Vor Ort; EUR 90.000 - 140.000; Vollzeit

Zusammenfassung

Jobtailor seeks an experienced insurance claims professional to lead complex liability matters and coverage analyses. You will draft position letters, review policy language, and supervise investigations, coordinating with carriers and counsel.

Responsibilities emphasize regulatory compliance, strategic claim resolution, and clear communication with internal teams and external stakeholders. A JD or equivalent and extensive claims experience are preferred.

Qualifikationen

• JD with active bar membership in good standing.
• 7–10+ years of senior-level experience handling complex liability claims.
• Licenses for adjusters.
• Expertise in insurance coverage analysis and policy interpretation.
• Experience issuing coverage positions, RORs, and denials.
• Strong grasp of liability, damages, and litigation strategy.
• Excellent analytical, negotiation, and communication skills.
• Ability to manage multiple high-severity, complex claims independently.
• Experience with coverage counsel or in-house legal teams preferred.
• Background in excess/umbrella/specialty lines preferred.

Aufgaben

• Review and interpret insurance policies to determine coverage and exclusions.
• Draft coverage position letters, including RORs and denials.
• Evaluate forms and policy language for carriers.
• Oversee complex claims investigations and gather evidence.
• Develop strategies for claim resolution and oversee litigation when needed.
• Provide carriers with independent evaluations based on investigation and expert input.
• Evaluate exposure and make reserve recommendations.
• Negotiate settlements within authority limits.
• Participate in mediations and settlement conferences.
• Ensure compliance with Department of Insurance regulations and internal protocols.
• Maintain thorough documentation in the claims system.
• Advise internal teams and carriers on coverage and complex claims issues.
• Act as primary coverage and strategy resource in interactions with external counsel and policyholders.

Kenntnisse

Analytical skills

Negotiation

Communication

Strategic claims management

Ausbildung

Juris Doctor (JD) with active bar membership in good standing

Tools

Claims management systems

Jobbeschreibung

Responsibilities

• Review and interpret insurance policies, endorsements, and applicable statutes to determine coverage, exclusions, and obligations.
• Draft and issue coverage position letters, including reservations of rights and denial letters, ensuring clarity and compliance with legal and regulatory standards.
• Evaluate and provide input on coverage forms and policy language as needed by carriers.
• Oversee and conduct complex claims investigations, including gathering evidence, reviewing reports, and analyzing liability and damages.
• Develop and implement strategic approaches for claim resolution, including oversight of litigation when necessary.
• Provide carriers with independent evaluations of claims based on investigation, experience, and input from outside experts and counsel.
• Evaluate exposure and make settlement recommendations, including setting and managing reserves within carrier guidelines.
• Negotiate settlements within authority limits, balancing legal risk, financial exposure, and business objectives.
• Participate in mediations and settlement conferences as required.
• Ensure all claims handling complies with Department of Insurance regulations and internal protocols.
• Maintain accurate and thorough documentation in the claims management system, including coverage analyses and strategic recommendations.
• Serve as a trusted advisor to internal teams and carriers on coverage and complex claims issues.
• Act as the primary coverage and strategy resource in interactions with external counsel, policyholders, and other stakeholders.

Requirements

• Juris Doctor (JD) with active bar membership in good standing, or
• 7–10+ years of senior‑level experience handling complex liability claims.
• Adjusters licenses
• Demonstrated expertise in insurance coverage analysis and policy interpretation.
• Experience issuing or advising on coverage positions, including RORs and denials.
• Strong understanding of liability, damages, and litigation strategy.
• Exceptional analytical, negotiation, and communication skills.
• Ability to manage multiple high‑severity, complex claims independently.
• Proficiency with claims management systems and related tools.
• Background in professional liability, directors & officers coverages, or other complex liability lines (preferred).
• Experience working closely with coverage counsel or in‑house legal teams (preferred).
• Prior involvement in excess, umbrella, or specialty claims environments (preferred).

Core Competencies

Demonstrates expertise in insurance coverage analysis, policy interpretation, and complex claims management, with a strong focus on compliance with legal and regulatory standards. Proficient in negotiation and strategic claim resolution, ensuring effective communication with internal teams and external stakeholders.