Senior Claim Representative / Claim Counsel responsible for evaluating complex healthcare and professional liability claims, providing coverage analysis, litigation strategy, and coordinating with carriers and external counsel.
$110,000 - $140,000 / year
- Evaluate coverage issues specific to healthcare professional liability, miscellaneous and insurance professionals E&O, insurers’ extra-contractual liability, and D&O claims.
- Analyze claims-made and occurrence triggers, retroactive dates, prior knowledge and prior acts issues, interrelated claims, notice and reporting requirements, multiple insureds, allocation between coverages, and other complex coverage questions.
- Draft and issue coverage position letters, including reservations of rights and denial letters, ensuring clarity and compliance with legal and regulatory standards.
- Evaluate and provide input on coverage forms and policy language as needed by carriers.
- Review and interpret primary, excess, and package policies, endorsements, applications, and applicable law to determine coverage, exclusions, conditions, limits, retentions, allocation, and other obligations.
- Juris Doctor (JD)
- Nice to have: experience across two or more of healthcare professional liability, long-term care, miscellaneous E&O, broker or insurance professionals E&O, third-party administrator liability, insurers’ extra-contractual liability, or D&O
- Nice to have: experience with primary and excess claims, package policies, multi-insured matters
- Nice to have: experience in program business, delegated authority, third-party claims administration
- Nice to have: familiarity with healthcare regulations
- Medical, dental, and vision plans
- 401(k) plan with employer matching
- Discretionary Time Off (DTO) for exempt employees
- Paid Time Off (PTO) for non-exempt employees
- Paid holidays
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