Job Description

Complex Claims Examiner

Job Summary

Seeking a highly skilled and experienced Complex Claims Examiner to join a dynamic team. This role involves managing complex General Liability (GL), Auto, and Property Damage claims across the United States. The ideal candidate will have a strong background in commercial claims, litigation, and injury evaluation, with a proven ability to handle high-exposure claims.

Compensation Package

• Salary Range: $100,000 - $125,000 per year
• Benefits Include:
  • Competitive bonus structure based on personal and company performance
  • Comprehensive health, vision, and dental insurance
  • Flexible Spending Account (FSA)
  • 401(k) with competitive company matching
  • Paid holidays

Responsibilities

• Manage a caseload of 80-100 claims, with 80%+ involving litigation.
• Independently analyze liability claim submissions for coverage and set adequate reserves.
• Strategize and maximize early settlement opportunities for General Liability claims.
• Draft and review coverage letters and actively manage litigated matters.
• Attend mediations and settlement conferences as needed.
• Evaluate injuries and negotiate settlements up to policy limits, with an average claim value of $250,000+.
• Maintain accurate and timely documentation in the claims management system.
• Collaborate with underwriting and actuarial teams to provide feedback and insights.
• Keep senior claims management informed of key issues and developments.

Qualifications/Requirements

• Minimum of 10 years of experience in the insurance industry, with at least 5 years in Commercial General Liability claims.
• 5-10 years of litigation experience, with active involvement in case management.
• Strong background in injury evaluation and negotiation.
• Experience handling claims up to policy limits, avoiding wrongful death cases.
• Bachelor’s degree from an accredited college or university preferred.
• A JD from an ABA-accredited law school may be considered as a supplement to claims handling experience.
• Advanced knowledge of claims analysis and adjusting practices.
• Excellent verbal and written communication skills.
• Proven ability to manage a high volume of claims independently and meet deadlines.
• Strong interpersonal skills to build relationships with clients and team members.
• Leadership and people management skills are a plus.

Disclaimer: Please note that this job description may not cover all duties, responsibilities, or aspects of the role, and it is subject to modification at the employer's discretion.

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