Head of Claims Intake and Strategy

(EXCLUSIVE) HEAD OF CLAIMS INTAKE AND STRATEGY FOR PROFESSIONAL LIABILITY INSURER (Fully Remote or Hybrid Atlanta) - Our client is seeking a senior claims leader to ensure every matter begins with clarity, consistency, and the right strategic direction from the outset. This role sits at the front end of the claims lifecycle and is responsible for building a strong foundation for decision-making through high-quality intake, disciplined coverage assessment, and data-informed case direction.

The Head of Claims Intake & Strategy plays a critical role in aligning Strategy and Execution early in the process—ensuring that each claim is properly understood, accurately assessed, and guided toward the most appropriate outcome. By combining structured data, predictive insights, and expert judgment, this leader helps improve consistency, predictability, and overall claim performance across the organization.

Key Responsibilities:

• Establish and enforce standards for complete, timely, and accurate intake of all critical claim information

• Ensure strong first notice of loss and early case development so claims are actionable from day one

• Oversee coverage analysis on all matters and ensure coverage positions are clearly established early

• Partner with coverage counsel and internal stakeholders on complex or ambiguous coverage determinations

• Serve as the primary Claims partner to Finance on reserving models, ensuring understanding, confidence, and continuous improvement

• Collaborate with Finance to calibrate and enhance reserving models based on outcomes and trends

• Translate intake data, coverage position, and exposure signals into clear case direction and recommended claim posture

• Own and continuously refine the case direction model using outcomes data and structured feedback loops

• Define escalation criteria and governance standards in partnership with Strategy and team leadership

• Ensure appropriate matters are elevated with strong supporting data and clear recommendations

• Monitor claim direction quality and outcome predictability through dashboards and performance insights

• Identify trends, gaps, and drift, and lead corrective actions to improve consistency and results

Qualifications:

• 10 years of experience in medical professional liability or complex casualty claims

• Deep expertise in coverage analysis, exposure evaluation, and early-stage claim strategy

• Leadership experience in claims operations, technical claims oversight, or strategy roles

• Strong understanding of reserving methodologies and predictive/analytical claims models

• Proven ability to translate data and modeling insights into practical claims decision-making tools

• Experience partnering across Finance, Legal, Strategy, and external counsel

• Strong analytical judgment and decision-making skills

• Demonstrated ability to influence senior stakeholders and drive adoption of new frameworks and processes

This is a high-impact leadership opportunity for a claims professional who excels at bringing clarity early in the lifecycle, improving decision quality through data and structure, and ensuring every claim begins with a strong, consistent foundation for optimal outcomes.

The role can be fully remote or follow a hybrid schedule for candidates based in Atlanta. A competitive compensation package is offered, including base salary, annual bonus, and long-term incentive opportunities.

For consideration, please submit your resume to jobs@partners-group.com.