Claim Counsel – EPL/Professional Liability

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Logo of MDD Forensic Accountants

MDD Forensic Accountants

201 - 500 employees

Founded 1933

💸 Finance

Finance • Insurance • Consulting

MDD Forensic Accountants is a forensic accounting firm specializing in business valuations, shareholder disputes, and economic damage quantification. With over 40 offices globally, MDD provides expertise across a wide range of industries, delivering services to insurance companies, law firms, governments, and individuals. Their services include business interruption, lost profits, fraud investigations, and more, making them a trusted advisor for sound financial decision-making.

📋 Description

• Review and interpret EPL, Professional Liability (E&O), BOP, and GL policies, endorsements, and applicable statutes. • Analyze coverage issues including wrongful termination, discrimination, harassment, wage and hour exposures, professional negligence, and bodily injury/property damage triggers under GL. • Draft and issue coverage position letters, including reservations of rights and denial letters, ensuring clarity and compliance with legal and regulatory standards. • Evaluate and provide input on coverage forms and policy language as needed by carriers. • Oversee and conduct complex claims investigations involving employment-related allegations, professional services exposures, and occasional GL-related losses. • Analyze liability and damages in matters involving back pay, front pay, emotional distress, punitive damages, and economic loss. • Develop and implement strategic approaches for claim resolution, including oversight of litigation when necessary. • Provide carriers with independent evaluations of claims based on investigation, experience, and input from outside experts and counsel. • Evaluate exposure and make settlement recommendations, including setting and managing reserves within carrier guidelines. • Negotiate settlements within authority limits, balancing legal risk, financial exposure, and business objectives. • Participate in mediations and settlement conferences as required. • Ensure all claims handling complies with Department of Insurance regulations and internal protocols. • Maintain accurate and thorough documentation in the claims management system, including coverage analyses and strategic recommendations. • Serve as a trusted advisor to internal teams and carriers on EPL, Professional Liability, and GL-related coverage issues. • Act as the primary coverage and strategy resource in interactions with external counsel, policyholders, and other stakeholders.

🎯 Requirements

• Juris Doctor (JD) with active bar membership in good standing, or • 7–10+ years of senior-level experience handling EPL, Professional Liability, GL, or similar complex liability claims. • Active adjuster licenses and willingness to obtain and maintain additional licenses, as needed. • Demonstrated expertise in insurance coverage analysis and policy interpretation. • Experience issuing or advising on coverage positions, including RORs and denials. • Strong understanding of liability, damages, and litigation strategy. • Experience managing high-frequency EPL programs and familiarity with panel counsel management and billing guidelines in EPL matters. • Exceptional analytical, negotiation, and communication skills. • Ability to manage multiple high-severity, complex claims independently. • Proficiency with claims management systems and related tools.

🏖️ 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

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