Senior Liability Claims Specialist
About The Position
The Senior Liability Claims Specialist is responsible for the investigation, evaluation, negotiation, and resolution of complex insurance claims while ensuring compliance with company policies, regulatory requirements, and industry best practices. This position serves as a technical leader within the Claims Department by providing guidance to less experienced claims professionals, assisting with training and quality initiatives, and supporting continuous process improvement. The Senior Liability Claims Specialist exercises sound judgment, demonstrates advanced knowledge of insurance coverage and claims handling practices, and is committed to delivering exceptional service to policyholders while protecting the financial interests of the Company.
Requirements
- Minimum seven (7) years of progressively responsible property and casualty claims handling experience.
- Experience with complex or litigated claims and mentoring staff required.
- Comprehensive knowledge of insurance coverage and claims practices.
- Strong analytical, investigative, negotiation, communication, organizational, and leadership skills.
- Proficiency with claims management systems and Microsoft Office.
- Ability to work independently and collaboratively.
- Demonstrate technical expertise, foster collaboration, promote continuous improvement, exercise sound judgment, and model professionalism and ethical decision-making.
- Active adjuster's license where required.
Nice To Haves
- Bachelor's degree in Business Administration, Risk Management, Insurance, Finance, Criminal Justice, or related field preferred.
- Equivalent experience may be considered.
- AIC, CPCU, SCLA, or AINS.
- JD applicants welcome to apply.
Responsibilities
- Investigate, evaluate, negotiate, and resolve complex and high-exposure insurance claims.
- Analyze policy coverage, determine liability, establish reserves, and authorize payments within delegated authority.
- Monitor investigations through interviews, document review, inspections, and consultation with experts.
- Identify potential fraud indicators and coordinate with SIU or legal counsel.
- Ensure timely and equitable claim resolution.
- Serve as a subject matter expert.
- Mentor and coach Claims Specialists and junior staff.
- Assist with quality assurance audits and training.
- Maintain professional relationships with policyholders, claimants, attorneys, adjusters, contractors, vendors, and regulators.
- Communicate coverage decisions and negotiate settlements.
- Maintain accurate claim files.
- Ensure compliance with regulations and company policies.
- Prepare documentation for litigation or regulatory review.
- Participate in process improvement initiatives.
- Assist with catastrophe response and special projects.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
