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9 часов назад

Senior Complex Claims Consultant / Claims Counsel

110 000 - 135 000$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Senior Complex Claims Consultant / Claims Counsel (Insurance Claims): Managing and resolving high-severity, complex insurance claims with an accent on coverage analysis, policy interpretation, and strategic resolution across EPL, Professional Liability, BOP, and GL matters. Focus on drafting coverage positions, evaluating liability and damages, negotiating settlements, and ensuring regulatory compliance.

Location: Home United States; fully remote

Salary: $110,000–$135,000 per year

Company

hirify.global is a specialist professional services and technology firm supporting insurance and other highly regulated businesses with claims, risk, operational, and transformation services.

What you will do

  • Manage and resolve high-severity, complex insurance claims, primarily involving Employment Practices Liability and Professional Liability, with additional BOP and General Liability exposure.
  • Review policies, endorsements, statutes, and coverage issues involving employment-related allegations, professional negligence, bodily injury, and property damage.
  • Draft coverage position letters, including reservations of rights and denials, and advise carriers on policy language and coverage forms.
  • Lead investigations, evaluate liability and damages, develop resolution strategies, oversee litigation, and provide independent claim evaluations.
  • Set and manage reserves, negotiate settlements within authority limits, and participate in mediations and settlement conferences.
  • Maintain compliant claim documentation and advise internal teams, carriers, external counsel, policyholders, and other stakeholders.

Requirements

  • Juris Doctor with active bar membership in good standing, or 7–10+ years of senior-level experience handling complex liability claims.
  • Active adjuster licenses and willingness to obtain and maintain additional licenses as needed.
  • Expertise in insurance coverage analysis, policy interpretation, coverage positions, reservations of rights, and denials.
  • Strong understanding of liability, damages, litigation strategy, negotiation, and communication.
  • Experience managing high-frequency EPL programs, panel counsel, and billing guidelines.
  • Ability to manage multiple high-severity claims independently and use claims management systems.

Nice to have

  • Experience in EPL, Professional Liability, mixed program business, BOP, or GL.
  • Experience working with coverage counsel or in-house legal teams.
  • Background in program business or specialty lines environments.

Culture & Benefits

  • Fully remote work arrangement for the United States.
  • Medical, dental, and vision insurance.
  • 401(k) plan with employer matching.
  • Paid time off, discretionary time off for exempt employees, and paid holidays.
  • Life insurance and short- and long-term disability coverage.
  • Paid sick, family, and parental leave where required by law.

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