Job Description
Position Overview
Our client a highly respected insurance carrier is seeking a Senior Complex Claims Adjuster to manage a portfolio of highly complex litigated claims with significant coverage issues. This role requires deep technical expertise in policy interpretation coverage analysis and the management of coverage litigation including declaratory judgment actions. The ideal candidate will be a trusted technical resource capable of handling nuanced claims involving multiple policies jurisdictions and substantial financial exposure.
Salary
- $145000 to $165000/year total compensation (based on experience)
- Annual bonus potential
- Comprehensive benefits package (health dental vision 401k etc.)
- Opportunities for professional development and advancement
Requirements
- 7 years of complex claims experience with an insurance carrier; Attorneys are encouraged to apply
- Juris Doctorate (JD) a plus!
- Demonstrated expertise in coverage analysis and coverage litigation
- Proven experience handling declaratory judgment actions and disputed coverage matters
- Strong understanding of insurance policy forms and coverage lines (e.g. GL Auto Excess/Umbrella Professional Liability or Specialty lines)
- Exceptional analytical written and verbal communication skills
- Ability to manage highly complex matters independently with limited oversight
- Active adjuster license(s) or ability to obtain required licenses
Job Description
- Independently handle complex and high-exposure claims involving disputed or intricate coverage issues
- Perform detailed coverage analysis including interpretation of policy language endorsements exclusions and conditions
- Draft and issue coverage position letters reservation of rights letters and denial letters
- Manage coverage litigation including declaratory judgment actions in coordination with internal leadership and outside coverage counsel
- Direct and oversee defense and coverage counsel including litigation strategy budgeting and case evaluation
- Evaluate exposure establish appropriate reserves and present high-level authority requests
- Analyze and address multi-policy multi-insured and multi-jurisdictional issues
- Attend mediations settlement conferences and trials as required
- Provide technical guidance and mentorship to claims staff on complex coverage matters
- Partner with underwriting legal and risk management teams to ensure consistent interpretation of coverage positions
- Ensure compliance with all regulatory requirements internal policies and best practices
#LI-MW1
Required Experience:
Director
Job DescriptionPosition OverviewOur client a highly respected insurance carrier is seeking a Senior Complex Claims Adjuster to manage a portfolio of highly complex litigated claims with significant coverage issues. This role requires deep technical expertise in policy interpretation coverage analysi...
Job Description
Position Overview
Our client a highly respected insurance carrier is seeking a Senior Complex Claims Adjuster to manage a portfolio of highly complex litigated claims with significant coverage issues. This role requires deep technical expertise in policy interpretation coverage analysis and the management of coverage litigation including declaratory judgment actions. The ideal candidate will be a trusted technical resource capable of handling nuanced claims involving multiple policies jurisdictions and substantial financial exposure.
Salary
- $145000 to $165000/year total compensation (based on experience)
- Annual bonus potential
- Comprehensive benefits package (health dental vision 401k etc.)
- Opportunities for professional development and advancement
Requirements
- 7 years of complex claims experience with an insurance carrier; Attorneys are encouraged to apply
- Juris Doctorate (JD) a plus!
- Demonstrated expertise in coverage analysis and coverage litigation
- Proven experience handling declaratory judgment actions and disputed coverage matters
- Strong understanding of insurance policy forms and coverage lines (e.g. GL Auto Excess/Umbrella Professional Liability or Specialty lines)
- Exceptional analytical written and verbal communication skills
- Ability to manage highly complex matters independently with limited oversight
- Active adjuster license(s) or ability to obtain required licenses
Job Description
- Independently handle complex and high-exposure claims involving disputed or intricate coverage issues
- Perform detailed coverage analysis including interpretation of policy language endorsements exclusions and conditions
- Draft and issue coverage position letters reservation of rights letters and denial letters
- Manage coverage litigation including declaratory judgment actions in coordination with internal leadership and outside coverage counsel
- Direct and oversee defense and coverage counsel including litigation strategy budgeting and case evaluation
- Evaluate exposure establish appropriate reserves and present high-level authority requests
- Analyze and address multi-policy multi-insured and multi-jurisdictional issues
- Attend mediations settlement conferences and trials as required
- Provide technical guidance and mentorship to claims staff on complex coverage matters
- Partner with underwriting legal and risk management teams to ensure consistent interpretation of coverage positions
- Ensure compliance with all regulatory requirements internal policies and best practices
#LI-MW1
Required Experience:
Director
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