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)

Originally posted on Himalayas