The Sr Consultant Specialized Claims is a senior claims expert responsible for managing the most complex and high-exposure specialized claims across the country. This role provides strategic oversight, expert guidance, and technical consultation, often involving field investigations and collaboration with internal and external stakeholders.
Requirements
- Typically requires 12+ years of professional liability or complex claims experience.
- Bachelor’s degree or equivalent experience required; JD and/or industry designations preferred.
- Expert-level knowledge of applicable statutes, regulations, and case law for high-complexity claims with significant financial risk.
- Advanced technical expertise in specific lines of business or industry segments.
- Recognized authority in negotiation and claims resolution; able to shape best practices and resolve the most complex claims.
- Demonstrated ability to interpret and execute policies and strategies from senior leadership.
- Strong written and verbal communication skills; able to handle sensitive issues and tailor messaging to diverse audiences.
- Skilled in empathetic communication and selecting appropriate channels for stakeholder engagement.
- Proven ability to mentor and coach staff; regularly supports skill development and compliance understanding.
- Makes informed, confident decisions independently; understands financial and strategic implications.
- Exercises sound judgment and strategic insight in evaluating complex issues and outcomes.
- Highly organized with strong time management skills; able to execute complex workflows and support others in developing these skills.
- Demonstrates adaptability in changing environments and evolving priorities.
- Cultivates collaboration and teamwork across departments and levels.
- Recognized authority in regulatory matters; expert in managing legal and reputational risks.
- Develops and implements empathetic customer service strategies; known for delivering exceptional service.
- Navigates digital tools efficiently to support claim handling and reporting.
- Core Capabilities: Analytical Reasoning, Customer Centricity, Digital Fluency, Persuasion and Influence, Professional Insurance Acumen, Planning and Execution.
Benefits
- Medical, dental, vision, life, and disability insurance
- 401K with a company match
- Tuition reimbursement
- PTO
- Company paid holidays
- Flexible work arrangements
- Cultural Awareness Day in support of IDE
- On-site medical/wellness center (Worcester only)
