Professional Liability Claims Examiner

Insurance Placement Solutions (IPS) has an immediate opening for a Professional Liability Claims Examiner with our client. Candidates must have at least 5 years of professional liability claims-handling experience, including complex claims investigation, coverage analysis, litigation management, and claims resolution, along with an active Texas adjuster license or qualifying reciprocal licensing.

In this role, you’ll independently manage complex professional liability claims from initial investigation through resolution. You’ll analyze policy coverage, evaluate liability and damages, establish reserves, oversee litigation, and develop settlement recommendations while coordinating with clients, legal counsel, and external investigative professionals.

Professional Liability Claims Examiner Responsibilities

• Manage complex professional liability claims from assignment through final resolution
• Investigate claims, evaluate liability and damages, and determine appropriate claim strategies
• Review and interpret insurance policies, endorsements, exclusions, and coverage provisions
• Handle litigated professional liability claims and coordinate with defense counsel
• Direct outside investigative service providers and other claims-related vendors
• Continuously evaluate claim exposure and establish accurate reserves
• Develop settlement strategies and provide recommendations within designated authority
• Prepare detailed loss reports analyzing coverage, liability, damages, and potential exposure
• Identify potential subrogation or risk transfer opportunities and coordinate recovery efforts as appropriate
• Maintain accurate claim documentation, correspondence, and diary management
• Communicate claim developments and recommendations with clients, claimants, attorneys, and other stakeholders
• Ensure claims are handled in accordance with applicable regulations, client instructions, and company claims handling standards
• Support claims management with special projects and other assigned responsibilities

Qualifications

• Minimum of 5 years of professional liability claims handling experience
• Experience independently managing complex professional liability claims, including litigated matters
• Strong knowledge of insurance policy interpretation, coverage analysis, liability evaluation, and claims resolution
• Experience evaluating claim exposure, establishing reserves, and developing settlement recommendations
• Ability to analyze complex claims involving multiple parties, legal considerations, and significant financial exposure
• Knowledge of applicable insurance regulations, claims handling requirements, and relevant medical terminology
• Strong analytical, organizational, and problem-solving skills
• Excellent written and verbal communication skills with the ability to explain complex claims information to clients and stakeholders

Preferred

• Bachelor’s degree in a related field
• Experience coordinating with defense counsel and outside investigative service providers
• Experience preparing detailed loss reports and presenting claim evaluations to clients

Licensing & Certifications

• Active Texas adjuster license required, or an active home-state license with full reciprocity for the required jurisdiction

Work Arrangement

• Fully remote position open to qualified candidates throughout the United States

About Insurance Placement Solutions

Insurance Placement Solutions is a staffing and recruiting firm specializing in the insurance industry. We connect talented professionals with temporary, temp-to-hire, and direct-hire opportunities at leading insurance organizations across the United States.

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