Senior Claims Consultant

Senior Claims Consultant

The Senior Claims Consultant plays a critical role in managing a complex caseload, primarily focused on crime claims, with potential involvement in management liability and cyber matters. This position requires a proactive, analytical professional who can resolve claims efficiently while adhering to company best practices and authority guidelines. The consultant will conduct thorough coverage analyses, assess exposure, establish appropriate reserves, and evaluate recovery potential. Collaboration with internal teams and external stakeholdersincluding agents, insureds, and legal counselis essential to ensure high-quality claims handling and superior service delivery.

Responsibilities

The Senior Claims Consultant will be responsible for the following core duties:

• Conduct in-depth analysis of liability and damages to establish accurate reserves aligned with exposure
• Evaluate complex coverage issues and draft clear, well-reasoned coverage position letters
• Independently investigate, negotiate, and resolve claims with minimal oversight
• Appoint, manage, and evaluate the performance of outside counsel
• Exercise sound judgment within designated claim authority and escalate matters appropriately
• Maintain meticulous documentation in compliance with internal claims handling standards
• Represent the company at mediations, settlement conferences, and trialsvirtually or in person as needed
• Deliver exceptional service to both internal stakeholders and external clients
• Provide underwriting support by sharing insights on risk exposure and claim trends
• Identify emerging issues or trends with broader implications for the organization
• Ensure compliance with state licensing requirements and maintain all necessary credentials
• Perform additional duties as assigned

Qualifications

Experience:

• Minimum of 35 years of experience handling crime claims or relevant litigation experience as a coverage attorney
• Experience with Employment Practices Liability (EPL), Directors & Officers (D&O), or Cyber claims is a plus

Skills and Competencies:

• Strong knowledge of insurance claims processes and the legal/regulatory landscape
• Proven analytical and decision-making capabilities within authority limits
• Excellent written and verbal communication skills, including negotiation and interpersonal effectiveness
• Highly organized with the ability to prioritize tasks and seek support when needed
• Detail-oriented with a commitment to accuracy and thoroughness
• Ability to obtain and maintain required adjuster licenses within 90 days
• Collaborative team player with a flexible, agile mindset

Additional Company Details

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently exposed to outside weather conditions. The employee is occasionally exposed to wet and/or humid conditions; moving mechanical parts; high, precarious places; fumes or airborne particles; toxic or caustic chemicals; extreme cold; extreme heat; risk of electrical shock; risk of radiation; and vibration. The noise level in the work environment is usually moderate. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to sit; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

Additional Requirements

*The above job description is not intended to be an "all-inclusive" list of the duties and responsibilities of the job described, nor is it intended to be such a listing of the skills and abilities required to do the job. Rather, it is intended only to describe the general nature of the job.

Sponsorship Details

Sponsorship not Offered for this Role