Senior Claims Analyst

About the role

Reporting to the Unit Manager, this role will handle commercial claims specific to General Liability and/or Excess General Liability, focusing on SME (small to midsize enterprises) insureds such as franchisees, hotels, and restaurants/entertainment.

Responsibilities

• Investigate and evaluate coverage, liability, risk transfer (e.g., indemnification and tender application), and damages issues.
• Perform claim and coverage evaluation, establish and recommend adequate reserves, and manage litigation.
• Conduct detailed liability and damage analysis to achieve case resolution and optimal claims outcomes.
• Directly handle commercial and business general liability claims.
• Mentor and guide less experienced claim analysts.
• Assist the Unit Manager with departmental problem-solving.
• Manage external relationships, including third-party administrative oversight.
• Serve on company-wide committees and projects as assigned.
• Identify risks and opportunities related to coverage and liability, including risk transfer, tender, and indemnification.
• Monitor, review, and coordinate activities involving commercial and/or personal lines insurance claims, including coverage analysis, reserve establishment, and claim resolution.
• Review loss notices, confirm and interpret policy coverages, establish reserves, and investigate claims involving primary, umbrella, and/or excess policies.
• Manage litigation with Preferred Counsel under Alternative Fee Arrangements or other defense fee structures.
• Pursue and maximize risk transfer opportunities through contracts or insurance policy language.
• Assign and manage defense counsel, expert witnesses, and interactions with peer carriers, including designing and executing defense and indemnity contracts.
• Evaluate liability and damages, and participate in settlement negotiations.
• Ensure proper file setup, reserving, handling, and adherence to company procedures.
• Develop claims handling strategies, including defense coordination, litigation strategy, motion practice, and budget/expense control.
• Record and report specific claims information for financial and statistical records.
• Maintain diary control, investigate, analyze, and report to ensure proper reserves reflect the company’s exposure.
• Report to the Reinsurance Department to assist with reinsurer notices and recovery of amounts exceeding the company’s retention.
• Handle a large volume of diverse and dynamic claims effectively.
• Assist in Due Diligence inquiries as assigned.

Requirements

• Minimum of seven (7) years of commercial, business, and high-value homeowners claims handling experience or a related field.
• Four-year college degree required or equivalent work experience.

Qualifications

Preferred certifications or licenses: CPCU, SCLA, CCLA, or a New York state adjuster license (required).