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Raphael & Associates

General Liability Claims Examiner

Raphael & Associates

. Investigate, evaluate, and resolve complex General Liability and Excess Liability claims, including high-exposure bodily injury, property damage, catastrophic losses, and litigated matters .

Posted 11/11/2026full-timeRemote • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in investigating and resolving complex General Liability and Excess Liability claims, with strong negotiation and analytical skills. Proficient in managing litigated claims and ensuring compliance with regulatory requirements and company standards.

Highest-signal resume keywords
General Liability Claims ManagementExcess Liability Claims ManagementLitigated Claims OversightNegotiation SkillsClaims Management Systems Proficiency

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Claims AnalysisCoverage EvaluationLiability AssessmentReserve ManagementTort Law KnowledgeDecision-Making SkillsMedical Record ReviewDamage Evaluation
Soft Skills
Excellent Communication SkillsAnalytical SkillsIndependent Case ManagementTime Management
Tools & Technologies
Claims Management SystemsMicrosoft Office Suite
Certifications & Qualifications
Active State LicenseActive New York Adjuster License
Industry Keywords
High-Exposure ClaimsBodily InjuryProperty DamageCatastrophic LossesLitigation ManagementSettlement NegotiationRegulatory Compliance

About the role

Key responsibilities & impact
  • Investigate, evaluate, and resolve complex General Liability and Excess Liability claims, including high-exposure bodily injury, property damage, catastrophic losses, and litigated matters
  • Analyze coverage, liability, damages, and exposure to develop effective claim strategies
  • Establish, maintain, and adjust reserves in accordance with company guidelines and best practices
  • Manage litigated claims in partnership with defense counsel, including oversight of pleadings, discovery, motion practice, mediation, and trial preparation
  • Review medical records, expert reports, and damage evaluations to assess claim exposure
  • Negotiate settlements within authority and provide recommendations on high-value claims
  • Maintain accurate, timely, and well-documented claim files
  • Communicate with insureds, claimants, attorneys, brokers, and internal business partners
  • Ensure compliance with regulatory requirements, company standards, and service expectations

Requirements

What you’ll need
  • 3+ years of experience handling complex, high-exposure General Liability and/or Excess Liability claims
  • Active state license required
  • Active New York Adjuster license preferred
  • Demonstrated experience managing litigated casualty claims from inception through resolution
  • Strong knowledge of liability coverage, tort law, and claims handling best practices
  • Excellent negotiation, analytical, and decision-making skills
  • Strong written and verbal communication abilities
  • Ability to independently manage a complex caseload in a fast-paced environment
  • Proficiency with claims management systems and Microsoft Office Suite

Benefits

Comp & perks
  • Excellent Salary
  • Multiple Bonus Opportunities
  • Medical Benefits including Dental, Vision and Life
  • Paid Holidays/Vacation
  • 401(k) Plan
  • Flex-Time
  • Educational Assistance Program
  • Performance-based incentives
  • Comprehensive medical, dental, vision, and life insurance
  • 401(k) plan with company matching
  • Paid time off