Senior Professional Liability Claims Examiner III | 100% Remote

Location: Remote - United States (Atlanta, GA Department)
Employment Type: Full-Time | Exempt
Industry: Professional Liability | Errors & Omissions | Specialty Claims | Risk Management

Take Your Professional Liability Claims Career to the Next Level!

Are you an experienced Professional Liability Claims Examiner who thrives on investigating complex claims, analyzing coverage, managing litigation, and developing effective resolution strategies?

We are partnering with a well-established national third-party claims administrator and risk management organization known for delivering comprehensive claims management solutions and exceptional client service.

Our client is seeking a talented Professional Liability Claims Examiner III to independently manage complex Professional Liability claims from initial assignment through final resolution.

This is an outstanding opportunity for an experienced claims professional to apply their technical expertise, exercise independent judgment, and make a meaningful impact--all while enjoying the flexibility of a 100% remote position!

What You'll Do

As a Senior Professional Liability Claims Examiner, you'll play a critical role in evaluating claims, protecting client interests, and delivering effective claims resolutions.

• Manage Complex Claims: Independently investigate, evaluate, and resolve Professional Liability claims from inception through conclusion.

• Analyze Insurance Coverage: Review policies, endorsements, exclusions, and applicable coverage provisions to determine potential coverage.

• Oversee Litigation: Work closely with defense counsel, outside investigators, and other professionals to develop and execute effective claim resolution strategies.

• Evaluate Financial Exposure: Assess liability and damages, establish or recommend appropriate reserves, and develop settlement strategies.

• Drive Claim Resolution: Evaluate settlement opportunities and communicate recommendations to clients and claims leadership.

• Prepare Comprehensive Loss Reports: Deliver detailed analyses of liability, damages, financial exposure, and recommended next steps.

• Identify Recovery Opportunities: Evaluate potential subrogation and risk-transfer opportunities when applicable.

• Maintain Claims Excellence: Ensure accurate documentation, timely diary management, regulatory compliance, and exceptional client service.

What We're Looking For

Required Qualifications

• Minimum 5 years of relevant claims handling experience, with substantial hands-on Professional Liability experience.

• Active New York State Independent Adjuster License -- Required.

• Demonstrated ability to independently investigate, evaluate, and resolve complex Professional Liability claims.

• Strong knowledge of insurance policy interpretation, coverage analysis, and applicable statutory regulations.

• Experience managing litigated claims and coordinating with defense counsel.

• Proficiency in liability evaluation, reserve analysis, settlement recommendations, and detailed claims reporting.

• Strong analytical, organizational, and problem-solving skills.

• Excellent written and verbal communication skills, including the ability to explain complex claims matters to clients and other stakeholders.

• Ability to manage competing priorities and complex claims effectively in a remote environment.

Preferred Qualifications

• Bachelor's degree in Insurance, Risk Management, Business, or a related field, or an equivalent combination of education and experience.

• Experience handling Errors & Omissions (E&O), professional negligence, or other specialty Professional Liability claims.

• Experience within a Third-Party Administrator (TPA) or specialty insurance claims environment.

• Experience managing high-exposure claims and complex litigation.

• Proficiency with Microsoft Word, Excel, and claims management systems.

Why Consider This Opportunity?

• 100% Remote Work: Enjoy the flexibility of working from home while managing challenging, meaningful claims.

• Established Industry Presence: Join a national organization specializing in claims administration and risk management.

• Senior-Level Responsibility: Take ownership of complex Professional Liability claims and contribute directly to resolution strategies.

• Professional Challenge: Work on technically sophisticated claims involving coverage analysis, litigation, and financial exposure.

• Collaborative Environment: Partner with experienced claims professionals, legal counsel, and clients.

• Long-Term Career Opportunity: Apply your expertise within an established claims management organization.

Ready for Your Next Career Move?

If you're an experienced Professional Liability Claims Examiner with strong technical expertise, excellent judgment, and a passion for delivering exceptional claims outcomes, we'd love to hear from you!

Apply today to explore this fully remote senior-level claims opportunity.

An active New York State Independent Adjuster License is required for consideration.

All qualified candidates will receive confidential consideration.