Claims Coverage Counsel/Claims Coverage Administrator
Merchants Insurance Group · Melville, NY, US
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About the Role
Merchants Insurance Group is seeking an experienced Claims Coverage Counsel or Claims Coverage Administrator for their Claim Legal Team. This role is responsible for preparing coverage opinions, assisting claims professionals with risk transfer, and directing coverage litigation strategy. The position also provides legal support to underwriting and product development, reviews policy forms for compliance, and trains claims staff on policy interpretation and claims practices.
Responsibilities
- Prepares coverage communication consistent with internal quality standards and applicable state regulations.
- Works collaboratively with front-line claims professionals and managers to provide coverage analysis and preparation or review of coverage position letters for claims involving complex coverage issues or disputes.
- Provides legal or coverage guidance to claim professionals handling declaratory judgment actions in which Merchants is a named party.
- Directs outside counsel on litigation strategy.
- Leads claim staff in training involving legal or coverage matters.
- Provides claim legal support to underwriting and product development teams.
- Assists in regulatory compliance programs by providing supplementary research regarding statutes and regulations impacting our business.
Requirements
- Juris Doctor degree preferred, with license in good standing
- Minimum 5 years of insurance coverage experience and/or practicing attorney experience
- Proficiency with Westlaw or other legal research applications
- Minimum 10 years of technical experience in complex coverage analysis
- Prior leadership experience is highly desired
- High degree of competency in insurance coverage analysis, policy construction, and legal research with exemplary writing skills.
- Ability to transfer knowledge through formal and informal training with demonstrated excellent written and oral presentation skills.
- Advanced written and oral communication skills with influence, initiative, and ability to communicate effectively across all levels across an insurance organization to include cross-departmental relationships.
- Experience with construction and labor law litigation coverage issues related to risk transfer.
- Proven demonstration of creative problem-solving abilities.
- Excellent interpersonal skills with the ability to lead and work in a cooperative manner.
Skills
- Insurance coverage analysis
- Policy construction
- Legal research
- Writing skills
- Training
- Written and oral presentation skills
- Written and oral communication skills
- Influence
- Initiative
- Interpersonal skills
- Problem-solving
- Westlaw or other legal research applications
- Construction and labor law litigation coverage issues
Location
- Melville, New York
Work Type
- Hybrid
Experience Level
- 5 years of insurance coverage experience
- 10 years of technical experience in complex coverage analysis
- Practicing attorney experience
Education Level
- Juris Doctor degree preferred
Salary/Compensations
- $100,000 - $160,000
Benefits
- Welcoming and positive work environment.
- Colleague Appreciation Events.
- Flexible work arrangements, including flex scheduling and summer hours.
- Hybrid work schedule.
- Competitive pay scale.
- Generous paid time off package.
- Health Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Short Term Disability
- 401(k) employer match amount is 100% up to 6% of your annual contributions.
- Outstanding company bonus program.
- Tuition Reimbursement.
About the Company
- Merchants Insurance Group is a leading Property and Casualty Insurer in the Northeast.
- Merchants Insurance Group is rated A- (Excellent) with a stable outlook by A.M. Best.
- Consistently recognized as a top employer and high-performing organization.
- Recent honors include: Best Places to Work in Western New York (Buffalo Business First, 2023–2026), New York #1 Commercial Insurer (Big I, New York 2026), Fast Track Company (2019–2025) and Top Private Company (2019–2025), Ward’s 50® top-performing property-casualty insurer (2021–2024), Ivans Spark Award for Innovation (2024–2025), Named to Newsweek and Statista’s America’s Most Reliable Companies list (2025), ranked among the top 300 of 1,500 B2B organizations evaluated.
Equal Opportunity
- Merchants Insurance Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
- Merchants Insurance Group supports a safe workplace through pre-employment background screenings.