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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Expertise in managing complex General Liability and Excess claims, including coverage analysis, liability evaluation, and litigation management. Strong analytical and negotiation skills, with the ability to communicate effectively with stakeholders and ensure compliance with regulatory guidelines.
Highest-signal resume keywords
Complex Liability Claims ManagementCoverage AnalysisLitigation ManagementNegotiation SkillsAdjuster Licenses
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Coverage AnalysisLiability EvaluationLitigation ManagementClaim NegotiationCase ReservingClaims Strategy DevelopmentLegal Document InterpretationClaims Processing SystemsData ReportingRegulatory Compliance
Soft Skills
Analytical SkillsProblem-Solving SkillsDecision-Making SkillsWritten Communication SkillsVerbal Communication Skills
Tools & Technologies
Microsoft WordMicrosoft ExcelDocument Management Systems
Certifications & Qualifications
Juris Doctor (J.D.)AICSCLACPCU
Industry Keywords
General LiabilityExcess ClaimsHigh-Severity ClaimsLitigated MattersInsurance ContractsRegulatory AgenciesClaim File DocumentationSettlement AuthorityMediationsSettlement Conferences
About the role
Key responsibilities & impact- Investigate, evaluate, and manage highly complex or high-severity General Liability and Excess claims
- Analyze coverage, determine liability, assess damages, and evaluate legal issues affecting exposure
- Establish and maintain appropriate case reserves
- Resolve claims within designated reserve and settlement authority and recommend actions for matters exceeding authority
- Develop and execute claim strategies supporting timely, fair, and equitable resolutions
- Manage litigated files by assigning approved defense counsel, providing strategic direction, monitoring performance and outcomes, and maintaining Litigation Management Program compliance
- Review legal invoices and claim expenses for accuracy, reasonableness, and compliance
- Attend mediations, settlement conferences, pretrials, and trials as required
- Identify, analyze, and communicate coverage issues and disputes
- Maintain accurate claim file documentation, evaluations, reports, and system activity
- Deliver responsive claim service to insureds, claimants, brokers, and business partners
- Provide proactive claim status updates and support client-facing claim reviews, presentations, and partnership meetings
- Build relationships with Home Office personnel, defense counsel, vendors, and other stakeholders
- Ensure regulatory and company guideline compliance
- Submit data and reports to regulatory agencies and internal stakeholders
- Prepare regular updates for Home Office and senior stakeholders on significant claim developments, exposure, and resolution strategy
- Participate in special projects, process improvements, and departmental initiatives
Requirements
What you’ll need- Bachelor’s degree or equivalent experience
- Generally, seven to ten years of experience handling complex liability claims, including General Liability and Excess claims, high-severity, coverage-sensitive, and litigated matters
- Demonstrated expertise in coverage analysis, liability and damages evaluation, reserving, litigation management, and claim negotiation
- Must maintain applicable adjuster licenses and continuing education requirements
- Strong analytical, investigation, negotiation, problem-solving, and decision-making skills
- Ability to interpret insurance contracts, legal documents, regulations, and complex factual information
- Strong written and verbal communication skills, including the ability to present claim strategies and recommendations to senior stakeholders
- Strong computer skills, including Microsoft Word and Excel, with the ability to learn claim processing and document management systems
- Ability to work independently, prioritize competing demands, and manage complex claims with limited supervision
- Same-day and overnight travel may be required, up to 15%
- Juris Doctor (J.D.) preferred
- AIC, SCLA, CPCU, or other relevant insurance designations preferred
Benefits
Comp & perks- Comprehensive medical, dental, and vision coverage
- 401(k) with a generous employer match and profit-sharing contribution
- Wellness incentive program
- Life and accidental death and dismemberment (AD&D) insurance
- Flexible spending programs
- Short-term and long-term disability plans
- Paid time off program
- Paid charitable leave
- Paid parental leave
- Tuition reimbursement program
- Personal insurance (auto/homeowners) discounts
