Senior Specialty Claims Examiner

Central Insurance•Alpharetta, GA

About The Position

Central Insurance is seeking a Senior Specialty Claims Examiner to handle complex, long-tail specialty claims involving environmental, toxic tort, abuse or sexual offenses, class actions, CGL Coverage B, EPLI, and complex construction defects. The role investigates, evaluates, negotiates, and resolves highly complex and severe liability and litigated claims, potentially across multiple jurisdictions and at the highest authority limits. The examiner collaborates with insureds, claimants, agents, experts, attorneys, defense counsel, and internal partners, and may attend depositions, mediations, settlement conferences, and trials. The position is full-time and may be hybrid or remote depending on location. The listed work locations are Van Wert or Dublin, Ohio; Waltham, Massachusetts; Alpharetta, Georgia; and Irving, Texas. Overnight travel may be required up to 20%. The hiring range is $128,100–$175,000; starting pay depends on relevant experience, education, skills, and certifications. Central describes its total rewards package as including health and wellness benefits, paid leave, and support for financial, career, and retirement objectives.

Requirements

Possess, or secure and maintain, appropriate state adjuster licenses and continuing education credits.
Meet one of the following experience and education paths: a bachelor's degree in Business Administration, Risk Management, or a related field and 6 years of insurance experience handling high-complexity, high-severity claims, including the specialty claims described in the essential job functions; or 8 years of insurance experience handling such claims.
Ability to travel overnight up to 20%.

Nice To Haves

Litigation and mediation management experience.
Experience adjudicating highly complex claims at the highest authority limits, involving the highest degree of technical complexity in liability and litigated claims and potentially having a major impact on departmental results.

Responsibilities

Investigate, evaluate, negotiate, and resolve specialty claims, including environmental, toxic tort, abuse or sexual offenses, class actions, CGL Coverage B, EPLI, and complex construction defect claims.
Manage primary casualty, umbrella or excess casualty, complex multi-unit or class action construction defect, environmental or pollution, toxic tort, abuse or sexual offenses, employment practices liability, and class action litigation.
Develop and maintain strong relationships with agency representatives, insureds, claimants, experts, attorneys, and internal customers.
Attend depositions, mediations, settlement conferences, and trials as needed.
Provide proactive customer service throughout the life of each claim by setting expectations, building rapport, and responding to requests promptly.
Contribute to Team NPS results.
Collaborate with defense counsel on litigation and resolution strategy throughout the litigation process.
Review defense budgets and expenses to help control defense costs.
Set accurate reserves promptly and continually review them in light of probable ultimate exposure.
Comply with the Best Practice Playbook.
Manage paid losses appropriately, pay fair and owed amounts, and settle claims at an optimal time.
Manage files effectively and efficiently, pursuing swift resolution of files that warrant settlement.
Retain approved or preferred suppliers whenever possible and properly manage non-legal expenses.
Report claims trends and developments to senior management and underwriters.