Major Case Unit CGL Claims Consultant
Worcester, MA - USA
Job Summary
Major Case Consultant - Specialized Claims (CGL)
Seeking a highly skilled and experienced Major Case Consultant to join a Specialized Claims organization. This role involves managing the investigation evaluation negotiation and resolution of complex high-severity claims that represent significant exposures to the company. The ideal candidate will possess extensive technical expertise a strong litigation management background and the ability to collaborate effectively with professionals across various disciplines. This is a fully remote position offering flexibility and the opportunity to work with a dynamic and innovative team.
- Salary Range: $120000 - $165000 per year (depending on experience)
- Benefits: Competitive benefits package 401(k) paid time off professional development opportunities etc.
- Lead complex case investigations and negotiate high-value claims independently.
- Analyze coverage liability and financial exposure demonstrating mastery in reserving strategy and financial acumen.
- Manage litigation strategy and collaborate with defense counsel to develop tailored resolution strategies.
- Serve as a subject matter expert (SME) to mentor and support the development of other claim professionals.
- Evaluate and recommend improvements to training programs and claims handling standards.
- Provide relevant reporting to underwriting and reinsurance teams and collaborate to refine policy language and underwriting risk selection.
- Streamline workflows and address inconsistencies in claims processes.
- Contribute to special projects and attend industry events to stay updated on best practices.
- Build and maintain strong relationships with internal and external business partners.
- Education: Bachelors degree preferred; equivalent experience accepted. JD or equivalent legal/claims experience preferred. Industry designations (e.g. CPCU AIC) strongly preferred.
- Experience:
- Extensive experience handling highly complex high-value claims with significant legal financial and reputational exposure.
- Proven expertise in analyzing policy coverage legal liability and regulatory frameworks across jurisdictions.
- Recognized authority in negotiation and resolution of complex claims.
- Demonstrated ability to manage litigation strategy and direct counsel.
- Experience mentoring others and contributing to the development of claims handling standards.
- Skills:
- Strong written and verbal communication skills with the ability to simplify complex information.
- Ability to draft clear factual and objective work products.
- Skilled in selecting appropriate communication channels and demonstrating empathy across diverse stakeholder groups.
- Highly organized with the ability to manage complex workflows and competing priorities.
- Strategic thinker with sound judgment and the ability to make informed decisions independently.
- Technical Proficiency: Proficient in using a personal computer and standard office equipment.
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