Job Description

Our ideal candidate will have expertise in product liability claims involving pharmaceuticals and medical devices. Additional areas of focus include professional liability claims with clinical trials, and mass tort product liability cases. The caseload will involve both primary and excess coverages with complex fact patterns requiring analysis of contracts between parties to determine indemnity as well as risk transfer opportunities.

Responsibilities:

Conduct complex investigations and extensive claim file reviews on assigned cases

Provide coverage determinations and communicate the written position(s) to insureds, business partners and legal counsel as needed

Operate within prescribed authority levels to set appropriate expense and indemnity reserves

Regularly monitor indemnity reserves for any required adjustment

Present cases above authority level to leadership for expense/indemnity reserve authority

Develop and implement resolution strategies to achieve high quality outcomes

Pro-actively manage litigation and counsel throughout the case lifecycle

Directly oversee the litigation planning, execution, budget and bill review

Attending trials and mediations as necessary

Positively contribute to our claim and enterprise goals by participating in ad hoc audits, projects and product development initiatives

Prepare comprehensive reports and deliver presentations to senior claim leadership on: case developments, policy issues, industry trends, etc.

Collaborate with valued business partners to review and address claim trends

Address inquiries from agents and policyholders with a focus on providing superior customer service

Effectively communicating with internal constituents including billing, reinsurance accounting, finance and actuarial.

Qualifications:

A Bachelor’s Degree required, MBA or Law degree a plus

Specialization in medical malpractice or mass tort insurance liability experience is preferred

Minimum of 10 years of experience in handling product liability claims with strong preference for candidates who have handled pharmaceutical, medical device cases, professional liability claims with clinical trials, and mass tort product liability litigation

Prior experience handling both primary and excess policy coverages/claims

Prior experience handling complex auto and general liability claims

Working knowledge of coverage and tort laws

Strong coverage acumen with the ability to readily apply the terms and conditions found in manuscript policies

Familiarity with state specific insurance regulatory requirements

High level of discipline, results-orientation and ability to drive bottom line results

Superior analytical ability and organizational skills

Effective interpersonal communication skills in both verbal and written formats

Proven strategic reasoning and execution skills

Excellent negotiation and advanced technical claim handling skills

Full command of issues and medicals relative to high value bodily injury claims

Strong ability to analyze coverage and liability issues, manage time limit demands and assess extra contractual exposures and other issues of complexity

Ability to effectively communicate in a highly matrixed environment

Readily able to influence and drive successful, collaborative claim outcomes