Senior Liability Claims Examiner

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct investigations into liability claims to assess coverage, liability, and damages.

• Examine accident reports, witness statements, medical documentation, and other relevant claim materials.

• Perform interviews with claimants, insured individuals, witnesses, and other parties involved.

• Evaluate policy provisions and coverage specifics to ascertain claim applicability.

• Oversee assigned claims from the initial report through to resolution.

• Set up and uphold appropriate claim reserves based on exposure levels.

• Assess bodily injury, liability exposure, and property damage.

• Negotiate settlements with claimants, attorneys, and other relevant parties.

• Collaborate with defense counsel and assist in litigation management when necessary.

• Maintain communication with clients, insured individuals, claimants, and legal representatives.

• Provide updates on claim status, strategy, and progress toward resolution.

• Deliver exceptional customer service while managing sensitive claim situations.

• Keep precise claim documentation in the claims management system.

• Ensure that claim handling adheres to company guidelines, regulatory standards, and client service expectations.

• Identify potential fraud indicators and escalate concerns as necessary.

• Manage complex and high-exposure liability claims, including significant bodily injury and litigated cases.

• Develop claim strategies and collaborate closely with defense counsel and internal leadership on intricate matters.

• Act as a technical resource and mentor for less experienced adjusters.

• Support training, file reviews, and complex claim consultations.

⛳️ Requirements

• High School Diploma or Equivalent is mandatory.

• 5-7 years of experience in liability or casualty claims handling is required.

• Proven experience managing complex, litigated, and high-severity claims.

• Must be a resident of the US.

• Claims adjusting licenses as mandated by jurisdiction.

• Strong investigative, analytical, and negotiation skills are essential.

• Excellent written and verbal communication skills are required.

• Ability to manage multiple claims while upholding quality and service standards.

• Capability to work collaboratively with others both within and outside the organization.

• All prospective employees must successfully pass a background check.

• A Bachelor's degree is preferred.

• AIC designation is preferred.

🏝️ Benefits

• Flexible remote working arrangement.

• Potential for travel to the home office.

• Accommodations available upon request for candidates with disabilities throughout the recruitment and assessment process.