LI
Sr. Claims Examiner, Casualty
- Hiring from
- United States
- Work type
- Remote
- Posted
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Summary / Objective
The Senior Claims Examiner – Casualty handles moderately complex general liability claims across admitted and E&S lines. This role evaluates complex coverage matters, investigates loss facts, assigns defense counsel, assesses intricate damages, and negotiates and resolves matters with a high level of independence. The Senior Claims Examiner also trains and mentors less experienced claims examiners.
Essential Duties & Functions
- Handle complex casualty claims, including General Liability, Products, Life Sciences, Construction, and Supported Excess.
- Analyze coverage and communicate coverage positions to insureds and agents based on policy information, facts, and the allegations of each case.
- Investigate claims with policyholders, claimants, claimant attorneys, law enforcement, witnesses, agents, medical providers, and technical experts to evaluate liability, damages, and contribution potential.
- Ensure claims are handled timely; periodically evaluate liability and damages and establish proper indemnity and expense reserves.
- Prepare coverage position letters on matters in litigation without external assistance.
- Negotiate disposition of claims with insureds, claimants, and their representatives.
- Develop litigation plans and budgets with legal counsel on litigated matters; enforce panel counsel guidelines and control legal expenses to achieve appropriate resolution.
- Attend depositions, mediations, arbitrations, pre-trials, trials, and other legal proceedings as needed.
- Develop and execute a strategic file management plan that achieves optimal file resolution and business results.
- Escalate complex, high-severity, or coverage-sensitive issues to senior team members.
- Train and mentor less experienced claims examiners.
- Participate in special projects and other duties as assigned.
LIO LIFE — What We Value
- The Customer Lens -- Prioritizing our relationships, service, and needs of our customers.
- Innovative Thinking -- Fostering an environment that empowers and sustains bold thinking and actions.
- Balance -- Creating an inclusive, diverse, and holistic balance to meet our personal and professional needs.
- Simplicity -- Striving for simplicity in our service, products, and processes.
- Accountability -- Owning our results and learning from them.
Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Excellent written and verbal communication skills
- Active listening and critical thinking skills
- Strong respect for confidentiality
- Advanced judgment and decision-making abilities
- Superior internal and external customer service skills
- Demonstrated ability to collaborate at any level, individually and within a team
- Strong analytical and project management skills – planning the work, working the plan
- Ability to prioritize and multi-task in a virtual, small-team, entrepreneurial environment
Required Education and Experience
- Bachelor’s degree
- 5–10+ years of casualty claims experience
- Experience with GL claims; E&S exposure required
- State adjuster licensing
Preferred Education and Experience
- CPCU, AIS, and/or JD
- Substantial experience in construction defect (CD) and/or professional liability claims
Additional Eligibility Requirements (Certificates, Licenses, Required/Preferred)
- CPCU or AIS
LIO Life — Our Benefits
LIO offers a comprehensive benefits package designed to support your health, financial security, and work-life balance. Benefits are effective on your date of hire.
- Medical, Dental, Vision, and Prescription coverage.
- Health Savings Account (HSA), Flexible Spending Account (FSA), and Dependent Care Assistance Program (DCAP).
- Employer-paid Life & AD&D, Short-Term Disability, and Long-Term Disability.
- Voluntary Life & AD&D insurance.
- 401(k) Retirement Savings plan.
- Flexible Time Off.
- Employee Assistance Program (EAP).
- Voluntary Pet Insurance.
- Career development and growth opportunities.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment.
Position Type / Expected Hours of Work
This is a full-time position. Expected days and hours of work are Monday through Friday, 8:30 a.m. to 5:00 p.m. This position may require long hours and weekend work.
Travel
Occasional travel may be necessary for this position – to attend mediations, trials, or large property loss exposures.
EEO Statement
LIO Insurance provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, creed, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
