Senior Claims Examiner, Complex Liability

Gallagher•Torrance, CA

10d•Remote

About The Position

The Senior Claims Examiner manages complex general liability, employment, and civil rights claims through conclusion in the most cost-effective manner for clients. The position is remote and based in California; candidates must reside in California. Keenan, part of Gallagher, serves hospitals, public agencies, and California school districts through insurance brokerage and consulting services. The role includes managing the full claim life cycle according to PLCA guidelines and client expectations; analyzing coverage; directing investigations and defense counsel; evaluating damages; setting settlement strategies and reserves; and handling litigation costs. The examiner prepares reports and statistical data for reinsurers, JPAs, and Superpools; pursues subrogation; drafts coverage letters; negotiates settlements; and attends mediations or settlement conferences as needed. The position also supports client file reviews, guides junior adjusters, and maintains minimum daily billing productivity of 80%.

Requirements

High school diploma.
Seven years of related experience working within the applicable specialty claims area.
Demonstrated ability to handle unique or challenging claims issues at a senior adjuster level.
Appropriate license and/or certification in all states where claims are handled, or ability to obtain them according to local requirements.
Knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, communicate effectively verbally and in writing, and embrace new challenges.
Analytical skills to make decisions and resolve issues inherent in handling claims.
Ability to negotiate claim settlements and dispositions, including interpreting related documentation.

Nice To Haves

Bachelor's degree highly preferred.
Ten or more years of prior experience adjusting claims in the applicable specialty area highly preferred.

Responsibilities

Manage the full life cycle of complex general liability claims in accordance with PLCA guidelines and client expectations.
Analyze coverage, assign and review investigations, evaluate damages, and recommend settlement strategies.
Prepare timely reports for reinsurers, JPAs, and Superpools, and maintain accurate statistical data.
Direct defense counsel, control litigation costs, and attend mediations or settlement conferences as needed.
Pursue subrogation opportunities and adjust reserves based on claim developments.
Draft coverage letters, negotiate settlements, and ensure compliance with statutory and ethical standards.
Provide guidance to junior adjusters and support client file reviews.
Maintain a minimum billing productivity of 80% daily.
Perform other duties as assigned.
Recognize claims involving coverage issues and refer them to the Claims and Coverage Committees for counsel referral.