Senior Specialty Claims Examiner
About The Position
Central Insurance is hiring a Senior Specialty Claims Examiner to handle complex, high-severity specialty claims, including environmental, toxic tort, abuse and sexual offense, class action, CGL Coverage B, EPLI, and complex construction defect claims. The role manages long-tail exposures across multiple jurisdictions and involves complex litigation, coverage analysis, collaboration with legal and industry experts, and serving as a subject matter authority. The position is hybrid or remote based on location, with offices listed in Van Wert and Dublin, Ohio; Waltham, Massachusetts; Alpharetta, Georgia; and Irving, Texas. Overnight travel may be required up to 20%.
Requirements
- Must possess or secure and maintain appropriate state adjuster licenses and continuing education credits.
- 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 specialty claims described in the job functions; alternatively, 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 authoritative 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.
- Manage technical claims involving primary casualty, umbrella/excess casualty, complex multi-unit or class action construction defect, environmental/pollution/toxic tort, abuse/sexual offenses, employee practice liability, and class action litigation.
- Develop and maintain strong working relationships with agency partners, 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 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 what is fair and owed, and settle claims at the optimal time.
- Manage files effectively and efficiently, including 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.
Benefits
- Extensive health and wellness benefits.
- Flexibility and work-life balance.
- Generous paid leave.
- Long-term financial security.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
