Senior Product Liability Claims Examiner - Medmarc

ProAssurance; San Francisco (CA); Hybrid; USD 101,000 - 166,000; Full time

Job summary

ProAssurance seeks a Senior Claims Examiner to manage complex product liability claims, including investigation, coverage analysis, reserving, and coordinating defense counsel. You will present findings to management and work with cross-functional teams on line of business issues.

A JD or equivalent is strongly preferred, with five years' experience in handling complex product liability cases. Travel up to 25% and a valid driver's license required.

Qualifications

• Bachelor's degree required; advanced education or certification (JD, CPCU, ARM, AIC or similar) preferred.
• Minimum five years' experience in handling complex product liability cases or at least seven years in the legal field with high technical competence.
• Strong written and verbal communication, interpersonal, and relationship management skills.
• Excellent time management and organizational skills.
• Strong negotiation and interpersonal communication skills.
• Ability to travel up to 25% and be available beyond normal business hours.
• Valid driver's license required.

Responsibilities

• Direct management of complex claims including investigation, coverage analysis, reserving, and defense coordination.
• Directs defense counsel on settlements, defense tactics, and expert witness selection.
• Ensure proper file documentation and prepare management reports.
• Attend trials, settlements, mediations, and insured meetings; participate in negotiations.
• Review and approve legal expenses and adjust charges as appropriate.
• Keep abreast of changes in law and procedures in supervised jurisdictions.
• Prepare and deliver presentations to internal stakeholders and conferences.
• Collaborate with department members on policy form research, development, and regulatory or product development work; perform special projects.

Skills

Communication

Time management

Interpersonal skills

Negotiation

Analytical thinking

Decision making

Travel readiness

Education

Bachelor's degree

JD/CPCU/ARM/AIC or similar

Job description

An exciting opportunity exists to join the ProAssurance family of companies! Our mission is powerful and simple: We protect others. Choosing a place to apply your talents is an important decision for anyone. You have plenty of options. Why choose ProAssurance? At ProAssurance, we sell a pledge, and that pledge is delivered by our team members. We are seeking individuals who value integrity, leadership, relationships, and enthusiasm—and want to build their career with a great company where they can be their authentic self and feel valued, recognized, and rewarded for their contributions. ProAssurance specializes in healthcare professional liability, products liability for medical technology and life sciences, legal professional liability, and workers' compensation insurance. We are an industry-leading specialty insurer, with job opportunities in much of the contiguous United States.

This position supports our life sciences product liability line of business and can be hybrid or fully remote (in the continuous United States) depending upon proximity to an office location. New hires will report to the Chantilly VA office every couple of months when initially starting.

For full consideration, candidates should have some product liability claims experience (medical/life sciences not required) and a JD is strongly preferred.

The primary responsibility of the Senior Claims Examiner position is the direct management of assigned complex claims including claims investigation, coverage analysis, monitoring of defense counsel activities, control of legal expenses, reserving, and providing technical expertise throughout the life of the claim file. Senior Claims Examiner will also conduct presentations and work in cross functional teams to advance the line of business.

What you'll do:

• 30% - Provides direction, guidance and resolution throughout the life of the claim: contract and coverage analysis, investigation, evaluation of liability and damages, reserving and resolution.
• 20% - Directs defense counsel with regard to settlement values, defense tactics and strategies per department guidelines. Participate in selection of expert witnesses when appropriate. Maintain communication with supervisor and counsel and keep all internal and external stakeholders apprised of developments.
• 25% - Ensures proper file documentation of assigned files by complying with company and state requirements. Responsible for preparing reports to management by collecting, analyzing, and summarizing claim information.
• 10% - Attends trials, settlement conferences, mediations, and insured meetings. Participate in negotiations when appropriate.
• 5% - Review and approval of reasonable legal expenses and fees associated with the claim file and negotiate adjustment of charges when appropriate and within guidelines.
• 5% - Keeps apprised of changes in the law and court procedures affecting claims in jurisdictions supervised.
• 3% - Prepare and deliver presentations to internal stakeholders, brokers, and/or attendees at conferences, seminars, or other position or company-related functions and meetings.
• 2% - Work with department members, management, and other work groups on policy form research, development and revisions or other regulatory or product development work.Perform special projects as directed by management.

What we're looking for:

• Bachelor's degree required, advanced education or certification (JD, CPCU, ARM, AIC or similar) preferred.
• Minimum five years' experience in the handling complex product liability cases or at least seven years' experience in the legal field, with a high degree of specialized and technical competence.
• Proven superior written and verbal communication skills, strong interpersonal, and relationship management expertise.
• Superior time management and organizational skills.
• Excellent interpersonal communications and negotiation skills.
• Ability to make prompt, intelligent decisions based upon detailed analysis of complex issues.
• Strong analytical skills.
• Ability to travel up to 25% and willingness and ability to be available beyond normal business hours.
• Valid driver's license required.

We are committed to providing a dynamic and inclusive environment where everyone can do their best work and grow personally and professionally. For that reason, we partner with The Predictive Index (PI) – an organization equally committed to improving the working lives of people, to help us hire the best talent by providing additional insight about one's work style. Position Salary Range $100,739.00 - $166,236.00. The salary range displayed represents the entirety of the pay grade for this position. Most candidates will start in the bottom half of the range. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have, your location and comparison to other team members already in this role. Build your career with us and enjoy access to a best-in-class benefits program.