[Hiring] Senior Claim Representative / Claim Counsel @Davies

Role Description

The Claim Counsel / Senior Complex Representative manages high-severity and technically complex claims across healthcare and specialty professional liability programs. The portfolio may include:

• Medical Malpractice and Healthcare Professional Liability
• Miscellaneous Errors & Omissions
• Broker and insurance professionals E&O
• Claims involving third-party administrators and other insurance service providers
• Insurers’ extra-contractual liability exposures
• Directors & Officers Liability

The role serves as a subject matter resource to carriers and internal teams, providing independent evaluations of:

• Coverage
• Liability
• Damages
• Litigation posture
• Reserve adequacy
• Resolution strategy

This position is well-suited for an attorney with insurance coverage and complex claims experience or a senior claims professional with substantial experience in healthcare liability, professional liability, management liability, or other specialty lines.

Qualifications

• Juris Doctor (JD) with active bar membership in good standing, or generally 7–10+ years of senior-level experience handling complex healthcare liability, professional liability, management liability, insurance professionals E&O, or comparable specialty claims.
• Active adjuster license(s), as required, and willingness to obtain and maintain additional licenses based on assigned jurisdictions.
• Demonstrated expertise in insurance coverage analysis, policy interpretation, liability and damages evaluation, reserve analysis, and litigation strategy.
• Experience drafting or substantively advising on coverage positions, including reservations of rights and denials.
• Experience managing outside counsel, experts, mediations, and complex or high-severity litigation.
• Excellent analytical, organizational, negotiation, reporting, and written and verbal communication skills.
• Ability to manage multiple complex claims independently while meeting deadlines, reporting requirements, and service expectations.
• Proficiency with claims management systems and standard business technology.

Requirements

• Experience across two or more of the following: healthcare professional liability, long-term care, miscellaneous E&O, broker or insurance professionals E&O, third-party administrator liability, insurers’ extra-contractual liability, or D&O.
• Experience with both primary and excess claims, package policies, multi-insured matters, and matters involving overlapping professional liability and general liability exposures.
• Experience in program business, delegated authority, third-party claims administration, or specialty insurance environments.
• Familiarity with healthcare regulations, insurance operations, professional services contracts, directors’ and officers’ duties, and extra-contractual claim theories.
• Experience working closely with carrier claim teams, coverage counsel, in-house legal teams, underwriting, or program management.

Benefits

• Medical, dental, and vision plans to support your health and that of your family
• A 401(k) plan with employer matching
• Time-off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees
• Paid holidays
• Life insurance and short-term and long-term disability coverage

Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee’s primary work location.

Company Description

At Davies North America, we’re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.