CGL Senior Claims Examiner

Job DescriptionSenior Claims Examiner - CGLJob SummarySeeking a highly skilled and experienced Senior Claims Examiner specializing in Commercial General Liability (CGL) to join a team. This role involves efficiently and effectively managing intermediate-level commercial first-party property and third-party general liability claims. The ideal candidate will possess strong analytical skills, excellent communication abilities, and a proven track record in claims handling. This is a remote position, offering the flexibility to work from the comfort of your home while contributing to a dynamic and professional team. Compensation PackageSalary Range: $80,000 - $90,000+ annually ResponsibilitiesAs a Senior Claims Examiner, your primary responsibilities will include: Reviewing and setting up new loss assignments promptly in compliance with departmental guidelines and best practices. Establishing and regularly evaluating loss and expense reserves for adequacy and accuracy. Analyzing and interpreting policy language to make appropriate coverage decisions. Drafting complex coverage correspondence, including reservation of rights and coverage disclaimers, in compliance with state statutes and regulations. Managing claim files from inception to closure, including investigation, evaluation, and resolution of coverage, liability, and damage issues. Documenting all claim file activity, including strategies, plans of action, and exit plans. Demonstrating intermediate-level skills in coverage analysis, investigation, evaluation, and negotiation. Directing and controlling activities and costs of external vendors, such as independent adjusters and legal counsel. Preparing and presenting detailed reports, including Large Loss Reports, as required. Obtaining and maintaining all required state adjuster licenses and fulfilling continuing education requirements. Serving as a technical resource within the department by mentoring and sharing knowledge with peers and junior staff. Participating in internal and external training sessions and seminars to enhance skills and knowledge. Qualifications/RequirementsTo be considered for this role, candidates must meet the following qualifications: Experience: 3-5+ years of CGL claims handling experience with a carrier background. Stability: A consistent work history without frequent job changes. Skills:Strong verbal and written communication skills. Proficiency in coverage analysis, investigation, evaluation, and negotiation. Ability to manage multiple claims and prioritize tasks effectively. Licensing: Must hold or be able to obtain all required state adjuster licenses and comply with continuing education requirements. Technical Expertise: Familiarity with policy language interpretation and drafting complex coverage correspondence. Professionalism: Demonstrated ability to work independently in a remote environment while maintaining a high level of professionalism and accountability. LI-RG1