Complex Claims Consulting Director - Mass Tort Unit
About The Position
This individual-contributor role is the most senior claims professional in the Mass Tort Claims Unit, responsible for directly handling and managing the company’s most complex, highest-exposure claims. Claim types include social media/AI addiction, sexual abuse and molestation, pollution and environmental claims, toxic chemical and product exposures involving multiple claimants, talc, PFAS/AFFF, and other claims affecting multiple policy periods. The position has national claim-assignment scope and works with senior management on assignments requiring a high degree of technical complexity, negotiation, litigation management, and coverage coordination. The role manages complex commercial claims, including coverage analysis and determinations, investigations, reserves, resolution strategies, risk transfer, negotiations, litigation, and payments. It coordinates with internal and external partners, presents high-exposure matters to senior leaders and counsel, maintains subject matter expertise and regulatory compliance, and mentors and trains less experienced claim professionals. Additional duties may be assigned.
Requirements
- Typically, at least 10 years of related claims or legal experience, with a proven track record of success.
- Expert knowledge of the commercial insurance industry, products, policy language, coverage, legacy-liability issues, and claim practices.
- Excellent verbal and written communication skills and the ability to explain complex claim facts, analysis, and recommendations concisely to senior management, business partners, and customers.
- Analytical and investigative mindset, critical-thinking skills, sound business judgment, and ability to evaluate and resolve ambiguous and challenging business problems.
- Extensive experience leading complex negotiations and developing and implementing resolution strategies.
- Strong work ethic, time-management and organizational skills, sound judgment, and ability to work independently.
- Ability to take a proactive, long-term view of business goals and drive results.
- Ability to partner with internal resources, oversee and manage outside counsel, and collaborate with other carriers.
- Ability to lead multiple and shifting priorities in a fast-paced environment.
- Knowledge of Microsoft Office Suite and ability to learn business-related software.
- Demonstrated ability to value diverse opinions and ideas.
- Bachelor’s degree in a related discipline, or equivalent experience.
- Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
- Skilled negotiator.
Nice To Haves
- Master’s degree or JD preferred.
- Latent injury and/or high-severity general liability claims experience strongly preferred.
Responsibilities
- Assess coverage obligations, analyze policy language, and recommend and prepare written coverage determinations, partnering with coverage counsel as applicable.
- Manage an inventory of complex commercial claims, following company protocols and overseeing all aspects of claim handling, including coverage determinations, investigations, and resolution strategies.
- Pursue risk transfer, conduct extensive negotiations, and manage complex litigation as part of claim resolution strategies.
- Drive continuous improvement in claim and account handling and provide professional, timely claims service.
- Set and manage timely and adequate reserves considering coverage, liability, and damages.
- Collaborate with internal and external business partners to develop, own, and execute claim resolution strategies.
- Negotiate complex settlements, partner with counsel to manage complex litigation, and authorize payments within the scope of authority.
- Independently coordinate, lead, and execute agreed-upon strategies.
- Prepare and present high-exposure matters to senior leadership, counsel, and others.
- Maintain subject matter expertise and ensure compliance with state and local regulatory requirements.
- Mentor, guide, develop, and train less experienced Claim Professionals.
- Assist with special projects and perform additional duties as assigned.
Benefits
- Comprehensive and competitive benefits package intended to support employees’ and their family members’ physical, financial, emotional, and social wellbeing.
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What This Job Offers
Job Type
Full-time
Career Level
Director
