Executive Claims Examiner, Professional Liability

Executive Claims Examiner, Professional Liability

Job Title: Executive Claims Examiner, Professional Liability
Department: Claims

Job Description: We are seeking a skilled and highly experienced Claims professional to manage a portfolio of professional liability, management liability and/or allied healthcare liability claims. This role involves evaluating complex coverage scenarios, conducting thorough investigations, and overseeing the resolution of claims in a timely and cost-effective manner. The ideal candidate will have strong analytical and communication skills and a deep understanding of professional liability and/or allied healthcare exposures.

While not required, experience working within the specialty insurance market is a plus.

• Handle a diverse and complex caseload consisting of litigated and pre-litigation claims and potential claims from first notice through resolution
• Conduct thorough coverage, liability and damages investigations
• Conduct complex coverage analysis under claims-made and reported policies
• Draft comprehensive and analytically rigorous coverage letters
• Proactively manage defense counsel, experts, and other vendors efficiently and strategically
• Drive effective resolution strategy, including mediation, settlement negotiation, and trial oversight
• Partner with underwriting on risk trends
• Prepare clear internal reporting for leadership and reinsurers as necessary
• Support claims leadership by providing guidance, mentorship and technical training to developing examiners

• Candidates must possessa Bachelor’s degree; JD preferred but not required
• 7+ years of professional liability, management liability, and/or allied healthcare liability claims experience on claims-made or claims-made and reported forms
• Strong knowledge of legal procedures, policy interpretation, and litigation management
• Excellent analytical, organizational, and negotiation skills
• Exceptional verbal and written communication skills
• Proven ability to handle high-severity, complex claims independently
• Active Texas All-Lines Adjuster License preferred; NY license a plus
• Experience working in the Excess & Surplus (E&S) market is ideal

• Medical, Dental, and Vision insurance plans. FSA/HSA plans available.
• Basic Life/AD&D/Short Term/Long Term Disability coverage.
• 401(k) - Company match of up to 6%
• Flexible PTO plan, 11 paid company-wide holidays, plus your birthday off.
• Recognized as a Top Workplace by Richmond Times-Dispatch

Richmond National is an equal employment opportunity employer, the Company’s employment decisions and practices are not and will not be unlawfully influenced or affected by race, color, creed, age, religion, national origin, sex, disability, genetic information, veteran status, uniformed services, sexual orientation (including transgender status, gender identity or expression), gender, traits historically associated with race, such as hairstyle, pregnancy, childbirth, or related medical conditions or on any other characteristic protected by applicable federal, state, or local law.

This policy of equal employment opportunity applies to all policies and procedures relating to recruitment and hiring, compensation, benefits, and all other terms and conditions of employment.