Senior Claims Examiner

This is a Fully Remote Job About Our Client:Keenan is a California-based insurance brokerage and consulting firm specializing in employee benefits, workers' compensation, loss control, financial services, and property and liability insurance. Serving hospitals, public agencies, and school districts, the organization focuses on delivering innovative solutions to protect and support the communities it serves. It operates as part of a global insurance, risk management, and consulting network, enhancing its capacity to assist individuals and organizations in managing risks effectively. About the Opportunity:The SENIOR CLAIMS EXAMINER is responsible for managing complex liability, employment, and civil rights claims through their full lifecycle with the goal of achieving cost-effective resolutions. This role involves analyzing coverage, directing investigations, managing litigation costs, and negotiating settlements. The position contributes by ensuring claims are handled efficiently and in compliance with relevant standards, directly impacting client risk management and financial outcomes. Responsibilities:Manage full lifecycle of complex general liability claims following guidelines and client expectationsAnalyze coverage issues and refer to Claims and Coverage Committees for legal counsel when necessaryAssign and review investigations, evaluate damages, and recommend settlement strategiesPrepare reports for reinsurers, JPAs, and Superpools and maintain accurate statistical dataDirect defense counsel, control litigation costs, and attend mediations or settlement conferencesPursue subrogation opportunities and adjust reserves based on claim developmentsDraft coverage letters and negotiate settlements ensuring compliance with statutory and ethical standardsProvide guidance to junior adjusters and support client file reviewsMaintain minimum daily billing productivity of 80% and perform other assigned duties Requirements:High school diploma and 7 years of related experience in specialty claims areaAbility to handle unique and challenging claims at a senior adjuster levelProper licensing and/or certification in all states where claims are handled or ability to obtain themKnowledge of accepted industry standards and practicesComputer proficiency with claims and business softwareBachelor's degree and 10+ years of experience preferredStrong critical thinking, problem solving, planning, negotiation, and communication skillsAbility to interpret documentation and successfully negotiate claim settlements Pay Range and Compensation Package:The pay range and compensation package for this role will be determined based on the candidate's experience, skills, and other relevant factors. Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.