Job Description

Senior Claims Examiner - General Liability

Job Summary

Seeking a highly skilled and experienced Senior Claims Examiner specializing in General Liability to join a dynamic and growing claims team. This role involves managing a diverse portfolio of moderate to complex claims, including litigated files, and providing exceptional service to insureds and broker partners. The ideal candidate will have a strong background in commercial general liability claims, advanced analytical skills, and a proven ability to negotiate settlements effectively.

Compensation Package

• Salary Range: $80,000 - $125,000 per year
• Competitive benefits package, 401(k), paid time off, professional development opportunities, etc.

Responsibilities

• Adjust and resolve moderate to complex general liability claims, including litigated files, within assigned authority.
• Accurately document claim files, ensuring compliance with company policies and regulatory requirements.
• Draft coverage letters, including reservation of rights and denial letters, with minimal supervision.
• Review and analyze claim documentation and legal filings to set timely and accurate reserves.
• Identify emerging exposures and claims trends, and escalate as necessary.
• Manage litigation effectively, including deployment and utilization of defense counsel.
• Identify and track suspected fraudulent claims in collaboration with the special investigations unit.
• Participate in claims-related projects and initiatives as needed.
• Mentor and train junior claims examiners to enhance team capabilities.

Qualifications/Requirements

• 3-5 years of claims handling experience in commercial general liability with an insurance carrier.
• Advanced knowledge of claims analysis, adjusting practices, and legal documentation standards.
• Proven ability to negotiate settlements for moderate to complex claims.
• Experience in managing litigated files and actively participating in litigation processes.
• Strong analytical, verbal, and written communication skills.
• Active insurance adjuster’s license.
• 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.

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