Specialty Claims Examiner

Key Responsibilities Coverage review: Evaluate coverage by reviewing the first notice of loss and policy terms; issue disclaimers or reservation of rights letters when appropriate. Comprehensive investigation: Conduct thorough investigations, including liability and damages assessments, witness interviews, scene inspections, and evidence gathering. Independent adjuster oversight: Engage and direct independent adjusters, ensuring complete and accurate investigative work. Liability analysis: Apply statutory and case law to assess liability exposure and ensure joint tortfeasors contribute appropriately. Reserve management: Establish and maintain accurate reserves that reflect ongoing claim developments. Claim resolution: Manage files proactively, negotiate settlements with claimants or attorneys, oversee defense counsel, and drive effective litigation outcomes. Reporting: Prepare detailed reserve authority requests, reinsurance reports, serious loss reports, and coverage position letters. Collaboration: Partner with underwriting, compliance, and actuarial teams to share insights that support product performance and profitability. What You’ll Bring Analytical ability: Strong problem-solving skills with a focus on liability, damages, and exposure evaluation. Communication excellence: Clear and effective written and verbal communication across internal and external stakeholders. Negotiation skill: Confident decision-making with proven negotiation and conflict-resolution capabilities. Organization: Ability to manage multiple priorities with strong time-management and organizational skills. Technical knowledge: Solid understanding of insurance coverage, negligence law, and claim evaluation practices. Qualifications Experience: Associate Claims Examiner: 2+ years of relevant experience Claims Examiner: 7+ years of relevant experience Background: Prior experience as an examiner, adjuster, paralegal, attorney, or in another transferable role. Preferred: Excess liability claims experience Multi-jurisdictional knowledge, advanced degree, and/or JD Expected hours: 35.0 per week Benefits: 401(k) Dental insurance Flexible spending account Health insurance Paid time off Vision insurance Work Location: In person