Manage Employment Practices Liability claims end to end, including coverage analysis, investigation, liability and financial exposure assessment, litigation strategy, defense counsel oversight, negotiations, settlements, and resolution. Report significant claims and risk trends to executives, coordinate with reinsurers, attend proceedings, and recommend loss-prevention strategies.
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)
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