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PMA Companies · 1 week ago

Claims Consultant Corporate

Charlotte, NC

Full-time

Onsite

Senior Level, Lead/Staff

10+ years exp

PMA Companies is seeking a senior level Claims Consultant focusing on claims against lawyers and law firms involving Lawyers Professional Liability policies. The role involves managing claims from first notice to conclusion, requiring a thorough understanding of coverage evaluation, investigation, and negotiation.

Financial ServicesInsurance

Work & Life Balance

Responsibilities

Review and document activity for assigned claims, including coverage evaluation, investigation, and consideration of multiple factors to assess potential liability and exposure

Develop working knowledge of policy forms, industry trends, and issues common to lawyers professional liability insurance and claims

Regularly identify and appropriately address relevant coverage issues

Draft insurance coverage correspondence and reports

Maintain professional relationships with internal and external audiences

Identify and refer files necessitating escalated review as appropriate to claims management

Develop action plans on assigned files to secure appropriate and timely resolution

Negotiate and settle claims with appropriate oversight by the claims management

Review, evaluate, request, and assign timely and appropriate reserves from file inception to resolution with appropriate oversight by claims management

Assign, coordinate, and manage outside counsel and vendors with appropriate claims management oversight

Review and audit attorney and vendor invoices consistent with Company guidelines

Independently conduct prompt and thorough investigation of low to high severity claims and evaluate coverage, liability, and damages throughout the life of a claim

Independent drafting of coverage related correspondence, internal reports, and reports to reinsurers

Participate in mediations and settlement negotiations to resolve claims, including higher severity claims, with minimal oversight

Thoughtful, concise, and effective written and verbal communication with claims management and underwriting partners regarding significant claims, reserve recommendations, claim related trends, and industry developments with minimal oversight

Demonstrate leadership visibility and engagement with employees, claims management, underwriting partners through regular and meaningful interactions or meetings

May work with claims management and other internal and external partners to develop and implement procedures to improve claim workflow efficiency while preserving process controls

Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work

Qualification

Juris DoctorInsurance claims experienceAdjuster licenseAnalytical skillsWriting skillsSituational awarenessProblem-solving skillsCritical thinkingPresentation skills

Required

Juris Doctor degree from an accredited law school

Obtain adjuster license(s) or agree to obtain adjuster license(s) and additional training as necessary or required to complete claims handling responsibilities with moderate training, mentorship, and oversight by claims management

Exemplary analytical, interpretive, problem-solving, and critical thinking skills with ability to make sound decisions and effectively evaluate and resolve complex or challenging business problems

Strong situational awareness, understanding the context and implications of a decision

Exemplary writing and presentation skills with ability to convey complex technical information