Senior Claims Manager - Employment Practices Liability (EPL)

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)

Work arrangement
No