Senior Claims Specialist

Position Summary

This position provides key support in the handling of claims across multiple lines of coverage, with a focus on Liability (Commercial Auto, Commercial Property, Construction Deficit, and General Liability).

Primary Responsibilities

• Review, analyze, and interpret policy conditions, exclusions and endorsements to resolve coverage and liability issues for assigned claims
• Prepare reservation of rights letters, nonwaiver agreements, and coverage disclaimers to address claim coverage issues
• Review and evaluate claim reserves to ensure that the respective reserve properly reflects the potential exposure
• Investigate claims to evaluate coverage and legal issues, which may include meeting with Insureds and witnesses, and obtaining statements, records, and other evidentiary materials
• Negotiates, including through mediation, arbitration, or other court-supervised settlement efforts, settles, and resolves claims with claimants, insureds, and their lawyers; provides appropriate claims resolution documents
• Maintain a working knowledge of regulatory and jurisdictional requirements
• Provides direction to and management of defense counsel, independent adjusters and other third parties retained to assist in a particular claim
• Other duties as assigned

Qualifications

• Minimum of 5 years of experience with the following:
• Coverage Review – interpreting policies, agreements and disclaimers
• Claims Investigation – Statements, authorizations, retention of qualified experts and counsel
• Coverage Administration – Reports, review reserves, compliance knowledge of laws and procedures
• Claims Settlement – Preparation of disclaimer letters, releases, and proof of loss statements; participation in legal court proceedings when necessary
• Knowledge of coverage, negligence principles, investigation and negotiation techniques
• Able to obtain and maintain state adjusting licenses, as needed
• Must be service-oriented, with the ability to provide prompt, efficient, and effective claims and customer service
• Able to communicate clearly and effectively with our customers, claimants, opposing counsel, defense counsel, and members of the public
• Adequate judgement, negotiation, and decision making skills
• Must be able to travel between different off-site locations or overnight in an expeditious manner
• Experience in handling liability claims in one or more of the following states: CA, NV, AZ, WA, OR, ID, UT, & CO.

Skill

Knowledge of coverage, negligence principles, investigation and negotiation techniques

Benefits

• Competitive salary paired with a comprehensive benefits package
• Generous paid time off, plus 12 paid holidays annually
• Comprehensive health coverage, including medical, dental, and vision plans
• Additional protection through accident, critical illness, and hospital indemnity insurance
• Company-paid life insurance equal to 2× annual salary
• Company-paid short-term and long-term disability coverage
• 401(k) Savings and Profit Sharing Plan through Old Republic
• Ongoing education, training, and professional development opportunities
• Support for industry certifications and insurance designations, including financial assistance
• Flexible scheduling with a two-hour window for start and end times within a 7.5-hour workday
• Opportunities to give back through corporate philanthropy and community service initiatives
• Optional benefits including travel, commuter, and pet insurance
• Employee wellness support through a dedicated fitness program