Insurance Claims Specialist

We are looking for an experienced Claims Specialist to manage a portfolio of Professional Liability claims from initial notification through final resolution. The role requires strong technical claims knowledge, sound judgment and a client-focused approach to the investigation, evaluation, negotiation and settlement of complex claims.

The Claims Specialist will work closely with policyholders, brokers, external counsel, Underwriting and other internal stakeholders to achieve fair, timely and commercially sound outcomes, while contributing claims insights that support portfolio performance and business decisions.

Key Responsibilities

·    Independently manage a caseload of Professional Liability claims from receipt through final resolution.

·    Handle claims involving Lawyers Professional Liability, Agents Professional Liability, Architects and Engineers, and other Miscellaneous Professional Liability exposures, as applicable.

·    Investigate, evaluate and settle claims in compliance with legal, regulatory and internal requirements.

·    Conduct detailed reviews of coverage, liability, damages and other claim-related issues.

·    Maintain complete, accurate and timely documentation within the claim file.

·    Set and maintain appropriate indemnity and expense reserves throughout the claim lifecycle.

·    Formulate and execute effective negotiation, litigation management and resolution strategies.

·    Provide timely and commercially focused guidance and recommendations to clients and internal stakeholders.

·    Maintain a strong client focus by proactively identifying issues, communicating developments and supporting client satisfaction.

·    Evaluate claims data to identify trends, emerging risks and opportunities for portfolio improvement.

·    Provide claims information, coverage consultation and technical input to Underwriting.

·    Collaborate with Claims colleagues and cross-functional teams, including Underwriting, Products, Actuarial and Client Management.

·    Support quality, customer service and continuous improvement standards across the claims function.

·    Minimum of 3 years of claims handling experience or equivalent insurance industry experience.

·    Experience managing Professional Liability, Casualty or other complex commercial insurance claims.

·    Bachelor’s degree or equivalent relevant industry experience.

·    Law degree or legal background is desirable but not required.

·    Strong knowledge of coverage analysis, liability assessment, damages evaluation, reserving and claim resolution.

·    Experience handling litigation and working with external counsel is highly desirable.

·    Ability to interpret policy language and identify relevant coverage considerations.

·    Strong analytical, critical-thinking, negotiation and decision-making skills.

·    Excellent written and verbal communication skills.

·    Ability to work independently while collaborating effectively within a cross-functional team.

·    Strong organizational skills and ability to manage multiple priorities and deadlines.

·    Proactive, client-focused and quality-oriented approach.

Key Technical Knowledge

·    Professional Liability Claims

·    Lawyers and Agents Professional Liability

·    Architects and Engineers Liability

·    Coverage and liability analysis

·    Damage assessment and claims reserving

·    Litigation management and resolution strategy

·    Claims investigation, negotiation and settlement

·    Insurance policy and contract interpretation

·    Claims data analysis and trend identification

·    Legal and regulatory claims requirements

About Accenture

Accenture is a leading global professional services company that helps the world’s leading businesses, governments and other organizations build their digital core, optimize their operations, accelerate revenue growth and enhance citizen services—creating tangible value at speed and scale. We are a talent- and innovation-led company with approximately 791,000 people serving clients in more than 120 countries. Technology is at the core of change today, and we are one of the world’s leaders in helping drive that change, with strong ecosystem relationships. We combine our strength in technology and leadership in cloud, data and AI with unmatched industry experience, functional expertise and global delivery capability. Our broad range of services, solutions and assets across Strategy & Consulting, Technology, Operations, Industry X and Song, together with our culture of shared success and commitment to creating 360° value, enable us to help our clients reinvent and build trusted, lasting relationships. We measure our success by the 360° value we create for our clients, each other, our shareholders, partners and communities.

Visit us atwww.accenture.com

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