Senior Professional Liability Claims Leader

TRISTAR; Atlanta (GA); On-site; USD 75,000 - 110,000; Full time

Job summary

TRISTAR is seeking a Claims Examiner III – Team Leader to oversee professional liability claims from inception to resolution. The role includes guiding Examiners, managing a 150–165 active caseload, and ensuring adherence to company standards and client guidelines.

The position requires strong analytical, communication, and regulatory knowledge, along with experience in complex claims handling and reserve management. Collaboration with supervisors and clients is essential in this leadership role.

Qualifications

• Bachelor’s degree in a related field.
• 3+ years of related experience in professional liability claims.
• Strong knowledge of coverage, regulations, and medical terminology.

Responsibilities

• Provide day-to-day guidance and work direction to Claims Examiners.
• Manage an active caseload of 150–165 Professional Liability claims.
• Conduct timely investigations and evaluate documentation and evidence.
• Review policies, endorsements, and relevant laws to determine coverage and liability.
• Communicate with clients, claimants, counsel, service providers, and others regarding status.
• Establish and maintain reserves within authority levels and company guidelines.

Skills

Claims handling

Analytical skills

Written and verbal communication

Microsoft Word

Microsoft Excel

Regulatory knowledge

Medical terminology

Education

Bachelor's degree in related field

Tools

Microsoft Word

Microsoft Excel

Job description

TRISTAR is seeking a Claims Examiner III – Team Leader to oversee professional liability claims from inception to resolution. The role includes guiding Examiners, managing a 150–165 active caseload, and ensuring adherence to company standards and client guidelines.

The position requires strong analytical, communication, and regulatory knowledge, along with experience in complex claims handling and reserve management. Collaboration with supervisors and clients is essential in this leadership role.