Senior Litigation & Liability Claims Examiner

Arbol•Sarasota, FL

7d•$100,000 - $115,000•Remote

About The Position

Arbol is seeking a seasoned Senior Litigation & Liability Claims Examiner to join its property casualty claims team at Lilypad Insurance Managers. This role requires deep expertise in litigated liability claims, complex coverage analysis, and defense counsel management. The candidate will work in a dynamic, technology-driven environment, utilizing AI-driven tools to deliver outstanding outcomes for policyholders and claimants.

Requirements

4-year college degree plus 7+ years of property, liability, and litigation claims handling experience, or a comparable combination of education and experience.
Direct experience with first and third party litigation in Florida, Texas and Louisiana.
Applicable state adjuster license where required, with the ability to obtain additional state licenses as needed.
In-depth experience interpreting property damage estimates and applicable policy coverages.
Working knowledge and in-depth experience evaluating liability exposures.
Demonstrated technical expertise in claims management, including coverage, forms, contracts, and tort law.
Proven, effective negotiation skills, including experience negotiating directly with claimants and plaintiff attorneys.
Knowledge of law and insurance regulations across various jurisdictions, and the ability to stay current on legal trends affecting claim handling.
Advanced experience adopting and using new software and tools.
Proficiency in Microsoft Office products (Word, Excel, Outlook).
Flexibility: Able to work extended hours due to weather-related events or litigation deadlines.

Nice To Haves

Insurance certifications, courses, or professional designations.

Responsibilities

Investigate, evaluate, and resolve complex litigated property and liability claims from lawsuit assignment through final resolution.
Investigate new third-party liability claims from first notice of loss, gathering facts, assessing liability, determining claim evaluation, and setting an action plan for resolution.
Negotiate directly with claimants and their attorneys to reach fair, well-supported settlements on third-party liability claims.
Develop and execute effective, cost-efficient litigation strategies in partnership with defense counsel.
Attend trials, mediations, arbitrations, and depositions as needed.
Contact and negotiate directly with plaintiff attorneys as appropriate to reach fair, cost-effective resolutions.
Review policy information to determine applicable coverages and make recommendations for resolving complex or disputed coverage issues.
Evaluate liability exposures with in-depth technical expertise, applying knowledge of tort law, contracts, and coverage forms.
Recommend timely, accurate reserves based on claim analysis and defense counsel input, and monitor and adjust reserves.
Maintain a current diary on each claim, present files to internal claims committees, and provide detailed reports for management review.
Leverage AI-driven tools and modern claims software to streamline litigation workflows, improve accuracy, and enhance the claims experience.
Ensure lawsuit handling meets all benchmarks under company guidelines, applicable statutes, and Unfair Claims Practice Acts.
Identify fraud indicators and recovery opportunities throughout the litigation process.
Engage and monitor the work of outside vendors, including defense counsel and experts.
Support the claims supervisor or manager in mentoring less experienced examiners and identifying training needs.
Support litigation and liability claims during high CAT claim volumes.