This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Complex Claims Specialist based in United States.
This role offers the opportunity to manage highly complex casualty claims and make a meaningful impact on claim outcomes.
You will handle specialized liability cases requiring advanced investigation, coverage analysis, negotiation, and strategic decision-making.
The position involves close collaboration with insureds, legal partners, underwriting teams, and internal stakeholders.
You will use your expertise to evaluate exposures, guide litigation strategies, and deliver fair and effective claim resolutions.
This is an ideal opportunity for an experienced claims professional who thrives in complex environments and enjoys solving challenging insurance matters.
The role combines technical claims expertise, communication skills, and leadership influence to support strong customer and business outcomes.
Accountabilities:
The Complex Claims Specialist will be responsible for managing specialized casualty claims from investigation through resolution while ensuring compliance with established policies, procedures, and regulatory requirements. This role requires strong analytical judgment, strategic thinking, and the ability to collaborate with multiple stakeholders to achieve effective claim outcomes.
- Handle complex Abuse/Molestation Liability Specialty Claims, including coverage analysis, investigation, evaluation, negotiation, and final disposition.
- Conduct thorough claim investigations through communication with claimants, attorneys, insured parties, witnesses, and other relevant stakeholders.
- Analyze claim information to determine liability, exposure, coverage considerations, and potential financial impact.
- Evaluate, negotiate, and resolve claims within assigned authority while applying appropriate settlement strategies, denials, or releases.
- Collaborate with defense counsel to manage litigation activities, budgets, trial strategies, and claim outcomes.
- Present significant claims, trends, coverage considerations, and exposure assessments to claims, underwriting, reinsurance, and actuarial leadership.
- Prepare timely reports on significant cases and participate in mediations, arbitrations, settlement conferences, trials, and other legal proceedings when required.
- Support training, knowledge sharing, and thought leadership initiatives within the claims organization.
Requirements:
The ideal candidate is an experienced casualty claims professional with strong expertise in complex liability matters, excellent communication abilities, and the confidence to manage high-impact claims. Candidates should demonstrate strong negotiation skills, sound business judgment, and the ability to work effectively with legal and business stakeholders.
- 8+ years of casualty claims handling experience, including significant experience managing Abuse/Molestation Liability claims with a primary property and casualty carrier.
- Strong experience in coverage analysis, claim evaluation, investigation, and complex claim resolution.
- Excellent negotiation, communication, presentation, and problem-solving skills.
- Ability to assess risk exposure, interpret policy coverage, and make strategic claim decisions.
- Strong litigation management experience and ability to collaborate effectively with defense counsel.
- College degree required; Juris Doctor (JD) degree preferred.
- Proficiency with standard business software, including Microsoft Outlook, Excel, and PowerPoint.
- Strong organizational skills with the ability to manage multiple priorities and deadlines.
- Valid state-issued driver’s license in good standing with the ability to travel as needed.
Benefits:
- Competitive annual salary range of $124,000 - $160,000 USD, based on location, qualifications, experience, skills, and business needs.
- Eligibility for incentive compensation programs.
- Comprehensive healthcare benefits designed to support employees and their families.
- Retirement savings plan with company matching contributions.
- Employee Stock Purchase Program with discounted purchase opportunities.
- Tuition assistance and reimbursement programs.
- 20 days of paid time off.
- Opportunities for professional development and career growth.
- Supportive workplace culture focused on collaboration, inclusion, and employee well-being.
How Jobgether works:
We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.
We appreciate your interest and wish you the best!
Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.
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