Complex Claim Specialist, Excess & Surplus

Accountabilities

• Handle complex commercial general liability claims across both litigated and non-litigated matters, maintaining ownership of claims from investigation through resolution.

• Identify potential exposures and ensure claims are reserved appropriately, accurately, and in a timely manner.

• Evaluate insurance coverage issues and identify opportunities for effective risk transfer based on applicable policies and contractual obligations.

• Ensure thorough investigation of underlying facts and circumstances, engaging and managing appropriate experts when required.

• Evaluate the selection and utilization of legal counsel and ensure litigation strategies are appropriate for the circumstances of each claim.

• Develop and execute effective negotiation strategies designed to achieve the best overall outcome for each claim.

• Formulate comprehensive resolution strategies by balancing coverage, liability, damages, litigation, contractual, and financial considerations.

• Communicate claim exposures, risks, developments, and recommended actions effectively with internal stakeholders and external parties.

• Build and maintain professional relationships with attorneys, insureds, brokers, experts, and other parties involved in the claims process.

• Attend mediations, trials, and other claim-related meetings as required, including periodic travel.

• Maintain accurate and timely claim documentation and comply with applicable claims procedures, licensing requirements, and regulatory expectations.

• Perform additional claims-related duties and responsibilities as required.

Requirements:

• Bring at least 5 years of experience handling or litigating commercial general liability claims.

• Demonstrate strong contractual analysis capabilities, including the ability to interpret insurance policies for coverage and analyze other contracts for risk transfer obligations and opportunities.

• Possess advanced technical claims knowledge and a strong understanding of relevant legal principles and practices.

• Demonstrate strong written and verbal communication skills, with the ability to clearly explain complex claims issues and exposures.

• Be comfortable interacting professionally and effectively with internal and external stakeholders at a senior level.

• Demonstrate the ability to influence and negotiate effectively while maintaining productive professional relationships.

• Possess strong negotiation and conflict-resolution skills and the judgment to determine appropriate claim strategies.

• Have strong computer skills and the ability to work effectively within paperless claims management systems and related technology.

• Hold any adjuster licenses required for the applicable jurisdiction.

• A Chartered Property Casualty Underwriter (CPCU) designation or Associate in Claims (AIC) certification is preferred.

• Demonstrate sound judgment, analytical thinking, attention to detail, and the ability to independently manage complex claims.

• Be willing to travel periodically for mediations, trials, and other business-related meetings.

Benefits:

• Annual salary range of $125,000–$155,000, depending on experience, skills, education, training, role scope, and market considerations.

• Regular full-time employment.

• Potential for remote work, with the role also eligible to be based in a claims office.

• Medical and dental plans.

• Life insurance, including coverage options for eligible spouses and children.

• Health Care Flexible Spending Account.

• Dependent Care Flexible Spending Account.

• 401(k) savings plan.

• Paid time off.

• Career advancement opportunities.

• Opportunity to manage complex Excess & Surplus commercial claims involving coverage analysis, litigation, risk transfer, and high-value resolution strategies.

• Exposure to sophisticated claims, legal, contractual, and negotiation matters within a commercial insurance environment.