Senior Casualty Claims Examiner

JOB DESCRIPTION

We are seeking an experienced and detail-oriented Senior Casualty Claim Examiner to join our team.

This role is responsible for handling complex personal and commercial auto, bodily injury, and general liability claims with a focus on thorough investigation, sound judgment, and timely resolution.

The ideal candidate will bring strong technical claims expertise, excellent communication skills, and the ability to manage a diverse inventory of claims while delivering a high level of customer service.

We are hiring in Phoenix, AZ; O'Fallon, MO; and Alpharetta, GA.

Key Responsibilities


* Analyze initial loss reports to determine the nature of loss, applicable coverage, and the scope of injury or damage in personal and commercial auto, bodily injury, and general liability claims.


* Conduct comprehensive investigations into all aspects of reported claims, including potential fraud, and secure appropriate supporting documentation.


* Verify the accuracy, relevance, and completeness of claim information and documentation.


* Manage first- and third-party injury claims related to No-Fault/Med Pay and liability exposures.


* Apply knowledge of jurisdictional regulations and case law across all assigned territories.


* Negotiate liability and damages effectively when appropriate.


* Monitor and manage claim files to ensure timely development and resolution of claims inventory.


* Collaborate with department management to deliver presentations, conduct meetings, and serve as a technical resource.

QUALIFICATIONS



* 5-7+ years of experience in liability insurance claims adjusting, including litigation.


* Bachelor's degree or equivalent experience.


* Strong understanding of insurance contracts, investigation techniques, legal requirements, and insurance regulations.


* Ability to evaluate, analyze, and interpret policy language, contracts, and other complex information.


* Excellent verbal and written communication skills with the ability to clearly explain coverage positions, claim decisions, and recommendations.


* Strong analytical and critical thinking skills with the ability to assess claim facts and determine appropriate next steps.


* Ability to manage multiple claims simultaneously while maintaining accuracy, organization, and attention to detail.


* Demonstrated negotiation skills and the ability to resolve liability and damages effectively.


* Sound judgment and decision-making skills in complex or sensitive claim situations.


* Ability to work independently and collaboratively with management, peers, and internal stakeholders.


* Strong customer service orientation and the ability to handle challenging conversations professionally and tactfully.


* Ability to adapt to changing priorities, deadlines, and claim environments.


* Familiarity with litigation management and supporting claims through the litigation process.


* Proficiency in do...