EPL Claims Consultant

Position Overview 

The Consultant EPL Claims is responsible for managing highly complex coverage analysis, investigation, evaluation, negotiation, and resolution of Employment Practices Liability claims. These claims may originate from any jurisdiction across the country and often require collaboration with internal and external experts.

This role requires advanced technical skills, sound judgment, and the ability to manage complex and high-value claims with minimal supervision. The Consultant operates with a high level of autonomy and professionalism, ensuring compliance with regulatory and company standards while navigating sensitive and high-impact claim scenarios. The position offers opportunities to deepen expertise in specialized lines of business and contribute meaningfully to claim outcomes through strategic decision-making and expert consultation.

In this role you will:

• Independently manages highly complex claims with significant financial exposure. Demonstrate expert-level technical knowledge across products and industry practices.
• Negotiate settlements on the company’s largest and most sensitive losses, applying advanced strategies to mitigate risk and control expenses.
• Provide strategic consultation on large claim handling, supporting both staff and independent adjusters. Participate in the development of resolution strategies and ensure consistency across high-impact cases.
• Maintain ongoing communication with leadership, offering insights and updates on critical claim developments and emerging trends.
• Serve as a subject matter expert, contributing to departmental initiatives and coordinating consistent handling of large losses across jurisdictions.
• Co-adjust select cases to support learning and influence outcomes. Provide technical guidance and mentorship to less experienced adjusters.
• Lead cross-functional collaboration with underwriting, legal, agents, vendors, and other stakeholders to ensure thorough investigation and evaluation of complex claims.
• Utilize data tools and analytics to identify trends, improve claim outcomes, and ensure compliance with documentation standards. Prepare detailed reports for leadership and support continuous improvement efforts.
• Maintain appropriate state adjuster licenses and complete required continuing education to stay current with regulatory and industry standards. 

What you need to apply:

• Bachelor’s degree or equivalent experience required; typically 8+ years of professional experience in claims or related fields.
• Demonstrates strong negotiation skills in high-stakes situations, consistently securing favorable outcomes while preserving relationships. Skilled in influencing internal and external stakeholders.
• Makes confident, informed decisions independently and operates with latitude for unreviewed action. Applies sound judgment and strategic thinking to complex claim scenarios.
• Communicates clearly and effectively in both verbal and written formats. Promotes open dialogue and handles sensitive issues with professionalism and empathy.
• Maintains constructive working relationships across diverse perspectives. Fosters collaboration and contributes to a positive team environment.
• Highly organized with strong time management skills. Manages complex workflows and adapts easily to shifting priorities and business needs.
• Demonstrates deep understanding of applicable statutes, regulations, and case law. Applies legal and regulatory knowledge to guide claim resolution and ensure compliance.
• Drafts factual, relevant, and objective work products. Maintains accurate and comprehensive claim documentation using internal systems.
• Navigates digital tools efficiently to support claim handling and reporting.
• Mentors less experienced team members, offering guidance on compliance, communication, and conflict resolution. Supports knowledge sharing and team development.
• Dedicated to meeting the expectations of internal and external customers. Handles escalated issues with empathy and professionalism.

Core Capabilities:

• Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution.
• Customer Centricity: Makes customers/clients and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations.
• Digital Fluency: Effectively uses digital tools and technology appropriately to find, evaluate, create, and communicate information understands how to navigate digital platforms, use software applications, and leverage technology for productivity and communication purposes.
• Persuasion and Influence: Uses appropriate interpersonal skills and techniques to gain acceptance for ideas or solutions; uses influencing strategies to gain genuine agreements; seeks to persuade rather than force solutions or impose decisions or regulations.
• Professional Insurance Acumen: Demonstrates a deepening understanding of the insurance industry and the ability to apply specialized technical skills to address complex challenges, adapt to industry trends, and drive value for the organization.
• Planning and Execution: Plans, prioritizes and manages resources and time effectively to achieve specific goals or deadlines.

Physical Demands and Work Environment:

• Ability to use a personal computer and other standard office equipment.
• Ability to sit and/or stand for extended periods.
• Required to work on-site as needed.
• Ability to travel as necessary.
• Ability to work in a fast paced, changing or stressful environment.
• Ability to perform work in a noisy/loud work environment.
• May be required to have and maintain sufficient home-based internet connection.