Senior Complex General Liability Claims Examiner

Job Description

• Handle a caseload of complex and high-exposure General Liability claims, including bodily injury, property damage, slip-and-fall, premises liability, and products liability.
• Conduct thorough investigations, including reviewing police reports, medical records, legal documents, and interviewing insureds, claimants, and witnesses.
• Evaluate coverage, determine liability, and set appropriate reserves based on claim complexity and exposure.
• Develop and execute strategic action plans for timely and cost-effective resolution.
• Work closely with defense counsel, experts, and other external partners to manage litigation strategy and settlement negotiations.
• Attend mediations, settlement conferences and trials as required.
• Maintain accurate claim notes and documentation in the claim management system.
• Ensure compliance with all state regulatory requirements and internal claims handling guidelines.
• Provide mentorship and guidance to junior examiners and assist with complex coverage questions.
• Collaborate with underwriting and risk management teams to provide claims insights and feedback.

Requirements

• 5+ years of experience handling complex General Liability claims; prior litigation management experience required.
• Strong knowledge of insurance policy forms, coverage interpretations, and claims handling practices.
• Familiarity with jurisdictional regulations and legal statutes across multiple states.
• Excellent negotiation, analytical, and decision-making skills.
• Strong written and verbal communication abilities.
• Ability to work independently and manage a high-volume, complex caseload effectively.
• Strong proficiency with claims management software and Microsoft Office Suite.
• JD (Juris Doctor) degree preferred

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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