Professional Liability Claims Examiner

Glen Allen, VA
Full Time
Mid Level
Job Title: Claims Examiner
Department: Claims
Location: On-site in Glen Allen, VA


Job Description: We are seeking a skilled and detail-oriented mid-to-senior level Claims Examiner 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.

Responsibilities:
  • Investigate, evaluate, and resolve professional liability, management liability and/or allied healthcare claims
  • Analyze challenging coverage scenarios 
  • Effectively write detailed and complex coverage letters
  • Handle a diverse caseload with attention to coverage, damages, and liability issues
  • Manage claims lifecycle, including reserving, negotiation, and settlement strategies
  • Interface with defense counsel, brokers, and insureds to drive effective resolution
  • Maintain accurate documentation and produce clear, timely reports for management
  • Direct and monitor litigation and contribute to strategic resolution planning

Qualifications:
  • Candidates must possess a Bachelor’s degree
  • 5+ years of experience handling professional liability, management liability, and/or allied healthcare claims
  • Strong knowledge of legal procedures, policy interpretation, and litigation management
  • Excellent analytical, organizational, and negotiation skills
  • Strong verbal and written communication abilities
  • Experience working in the E&S space is a plus

Benefits Overview

  • 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

Equal Employment Opportunity (EEO)

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.

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