Senior Claims Examiner, Professional Lines
About The Position
At Coaction, we’re a unique mix of leaders, achievers, thinkers, and team players with a high-performance mindset and a diverse skillset. We bring our industry expertise together to continually push the boundaries of what insurance can be for our clients. As a Senior Claim Examiner at Coaction, you will join a dynamic, fast-paced claims organization focused on managing complex Professional Liability matters. This role is integral to delivering exceptional claims service across Fidelity Bond and Miscellaneous Professional lines, including Errors & Omissions (E&O), Employment Practices Liability (EPL), and Directors & Officers (D&O) claims on both a primary and excess basis. Leveraging deep technical expertise and a strategic mindset, you will oversee the full claims lifecycle—ensuring high-quality investigations, timely resolution, and alignment with corporate objectives, regulatory requirements, and Coaction’s claim handling guidelines.
Requirements
- Bachelor’s degree required
- 10+ years of experience handling complex Professional Liability claims.
- Demonstrated expertise in Fidelity Bond, E&O, EPL, and D&O claims (primary and excess experience strongly preferred).
- Strong knowledge of policy language interpretation, coverage analysis, and litigation management.
- Proven ability to manage large, complex claims with significant financial exposure.
- Experience working with defense counsel, experts, and third-party administrators.
- High attention to detail and commitment to quality and compliance.
Nice To Haves
- advanced degree or professional designations (e.g., CPCU, AIC, JD) preferred.
Responsibilities
- Manage end-to-end handling of complex Professional Liability claims, including investigation, coverage analysis, reserving, litigation management, and resolution.
- Evaluate and assign new claims based on complexity, jurisdiction, and expertise.
- Maintain a proactive diary system to track key milestones and ensure adherence to service standards.
- Ensure timely, strategic decision-making aligned with business and client goals.
- Provide hands-on claims management for Fidelity Bond, D&O, E&O, and EPL matters.
- Direct litigation strategy in collaboration with defense counsel, including attendance at mediations, settlement conferences, and trials.
- Analyze coverage issues, liability exposures, and damages with precision and sound judgment.
- Serve as a primary claims liaison for key accounts and specialty programs in partnership with Professional Liability leadership.
- Lead and participate in claim review meetings; analyze trends and present insights to internal and external stakeholders.
- Build and maintain strong relationships with brokers, insureds, and risk managers to deliver high-quality, tailored service.
- Partner closely with Underwriting, Risk Management, and Customer Service teams to ensure alignment with broader business objectives.
- Provide insights on claims trends, emerging risks, and loss drivers to inform underwriting strategy and product development.
- Contribute to cross-functional initiatives to enhance operational effectiveness.
- Drive continuous improvement in claims handling processes, workflows, and best practices.
- Ensure full compliance with Coaction Claim Handling Guidelines and Protocols, as well as all applicable regulatory requirements and NAIC guidance.
- Maintain strong documentation and audit readiness standards.
Benefits
- paid time off
- medical
- dental
- retirement
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What This Job Offers
Job Type
Full-time
Career Level
Senior
