Claims Specialist
Core
Subject matter expert handling high-severity and high-complexity commercial claims, leading department roundtables, and advising leadership on key exposures.
Role type
Senior Claims Specialist (Litigation & Commercial General Liability)
Builds
Resolved claims and litigation outcomes for small business customers
Domain
Insurance (Commercial General Liability & Casualty)
Required skills
Commercial General Liability claims adjudication, litigation handling, coverage analysis, contract interpretation, reserve setting, subrogation identification, fraud detection, regulatory compliance, multi-jurisdictional claims management
Preferred skills
Advanced insurance designation, litigation experience, independent adjuster licensing
Technologies
Proprietary and off-the-shelf claims software systems
Responsibilities
Investigate and resolve high-severity claims within authority levels; recommend ultimate resolution for excess cases; manage litigation, mediations, and trials; communicate with policyholders, witnesses, and claimants; set and revise case reserves; identify suspicious claims and subrogation opportunities; provide guidance to independent field adjusters; present file materials for roundtables.
Seniority
Senior, hands-on IC