Senior Claims Manager - Employment Practices Liability (EPL)

• Manage assigned EPL claims from initial investigation through final resolution • Analyze and determine whether claims are covered, identifying any coverage issues • Investigate allegations by interviewing/corresponding with attorneys, employees, witnesses, and business stakeholders • Assess potential legal and financial exposure for the organization • Work with and direct defense counsel on litigation strategy and activities • Negotiate settlements and claim resolutions with defense counsel, plaintiff attorneys, and stakeholders • Determine when claims should be denied, settled, or otherwise resolved • Report significant claims, exposure, and trends to senior leadership with recommendations • Coordinate referrals and updates with reinsurers • Monitor and attend (as needed) cases proceeding to mediation, arbitration, or trial • Identify risk trends and recommend strategies to reduce future loss exposure

• 10+ years of experience in Employment Law, Risk Management, Insurance, or related Employment Practices Liability work • Direct experience handling EPL claims as a claims professional, or defending EPL claims as an attorney • Strong understanding of the claims/litigation lifecycle: investigation, coverage, liability assessment, litigation, negotiation, and resolution • Strong negotiation skills with defense counsel, plaintiff attorneys, business stakeholders, and insurance/reinsurance parties • Strong legal/risk judgment in evaluating liability likelihood and potential financial exposure • Bachelor's degree • Experience managing or directing outside defense counsel in employment-related litigation • Experience presenting significant claims, exposure, or trends to executive leadership • Experience in a healthcare organization (preferred) • Experience handling management liability claims such as D&O or professional liability alongside EPL (preferred)

Role Summary This is a senior-level claims and litigation management role focused specifically on Employment Practices Liability (EPL) within a healthcare-related environment. The person in this role will own assigned EPL claims end-to-end — determining coverage, investigating allegations, assessing liability and financial exposure, directing defense counsel, negotiating settlements, and reporting significant claims and risk trends to senior leadership. This is not a general HR or general claims processing position. It requires someone who has directly handled EPL matters (as a claims professional or as an attorney defending employers) and who understands the full lifecycle of a legal claim, from initial investigation through litigation and resolution. Key Responsibilities • Manage assigned EPL claims from initial investigation through final resolution • Analyze and determine whether claims are covered, identifying any coverage issues • Investigate allegations by interviewing/corresponding with attorneys, employees, witnesses, and business stakeholders • Assess potential legal and financial exposure for the organization • Work with and direct defense counsel on litigation strategy and activities • Negotiate settlements and claim resolutions with defense counsel, plaintiff attorneys, and stakeholders • Determine when claims should be denied, settled, or otherwise resolved • Report significant claims, exposure, and trends to senior leadership with recommendations • Coordinate referrals and updates with reinsurers • Monitor and attend (as needed) cases proceeding to mediation, arbitration, or trial • Identify risk trends and recommend strategies to reduce future loss exposure Requirements • 10+ years of experience in Employment Law, Risk Management, Insurance, or related Employment Practices Liability work • Direct experience handling EPL claims as a claims professional, or defending EPL claims as an attorney • Strong understanding of the claims/litigation lifecycle: investigation, coverage, liability assessment, litigation, negotiation, and resolution • Strong negotiation skills with defense counsel, plaintiff attorneys, business stakeholders, and insurance/reinsurance parties • Strong legal/risk judgment in evaluating liability likelihood and potential financial exposure • Bachelor's degree • Experience managing or directing outside defense counsel in employment-related litigation • Experience presenting significant claims, exposure, or trends to executive leadership • Experience in a healthcare organization (preferred) • Experience handling management liability claims such as D&O or professional liability alongside EPL (preferred) Originally posted on Himalayas Claims-Manager, Senior-Claims-Manager, EPL-Claims-Manager, Employment-Law-Claims-Manager, Litigation-Manager, Employment-Practices-Liability-Claims-Specialist