Senior Complex Claims Consultant / Claims Counsel - D&O & Professional Liability

Our Story Imagine being part of a team that’s not just shaping the future but actively driving it. 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. This role is responsible for managing and resolving high-severity, complex insurance claims with a strong emphasis on coverage analysis, policy interpretation, and strategic claim resolution. This role serves as a key subject matter expert for coverage issues, advising internal teams and carriers on complex liability matters and ensuring claims are handled in accordance with applicable laws, regulations, and company guidelines. This role is well-suited for either an attorney with insurance coverage experience or a senior complex claims professional with deep expertise in policy interpretation and complex liability lines. Key Responsibilities Coverage Analysis Review and interpret insurance policies, endorsements, and applicable statutes to determine coverage, exclusions, and obligations. 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. Claims Investigation & Strategy Oversee and conduct complex claims investigations, including gathering evidence, reviewing reports, and analyzing liability and damages. 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. Negotiation & Settlement 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. Regulatory Compliance & Documentation 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. Collaboration & Communication Serve as a trusted advisor to internal teams and carriers on coverage and complex claims issues. Act as the primary coverage and strategy resource in interactions with external counsel, policyholders, and other stakeholders. Skills, knowledge & expertise Required (one of the following): Juris Doctor (JD) with active bar membership in good standing, or 7–10+ years of senior-level experience handling complex liability claims. Also required: Adjusters licenses 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. Exceptional analytical, negotiation, and communication skills. Ability to manage multiple high-severity, complex claims independently. Proficiency with claims management systems and related tools. Preferred: Background in professional liability, directors & officers coverages, or other complex liability lines. Experience working closely with coverage counsel or in-house legal teams. Prior involvement in excess, umbrella, or specialty claims environments. Equal Employment Opportunity & Legal Notices Benefits At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes: 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. Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements. Diversity and Inclusion Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard. Compensation Transparency: The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices. Background Check & Fair Chance Compliance Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements. Massachusetts Notice It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at [email protected]