Professional Liability Claims Examiner III

TEEMA; San Diego (CA); Remote; USD 90,000 - 120,000; Full time

Job summary

TEEMA is seeking an experienced Professional Liability Claims Examiner III to manage complex California professional liability claims, including litigated matters. The role focuses on professional errors, omissions, and economic losses, with a preference for candidates residing near San Diego who can attend onsite meetings when required.

The ideal candidate will have 5+ years of professional liability claims handling, an active California adjuster license, and strong coverage analysis,

Qualifications

• 5+ years of Professional Liability claims handling experience required.
• Active California RESIDENT Adjuster’s License required – non-resident license will not qualify.
• Must reside in San Diego or the immediate surrounding area.
• Experience handling complex and litigated Professional Liability claims.
• Strong knowledge of coverage analysis, claims investigation, litigation, negotiation, and case valuation.
• Excellent analytical, written, verbal, organizational, and client-service skills.
• High school diploma/GED required; bachelor’s degree preferred.
• AIC/CPCU or related industry designation preferred.

Responsibilities

• Investigate, evaluate, negotiate, and resolve complex Professional Liability claims.
• Review policies and endorsements and make appropriate coverage determinations.
• Manage complex and litigated claims through resolution.
• Work closely with clients, defense counsel, investigators, and outside service providers.
• Evaluate liability, damages, exposure, and potential economic losses.
• Establish and continually evaluate reserves and settlement strategies.
• Prepare detailed loss reports analyzing liability and damages.
• Identify potential subrogation and risk-transfer opportunities.
• Maintain accurate claim diaries, correspondence, reports, and file documentation.
• Communicate recommendations regarding exposure, reserves, and settlements to clients.
• Independently manage complex caseloads while providing excellent client service.

Skills

Analytical skills

Written communication

Verbal communication

Organizational skills

Client service

Education

High school diploma or GED

Bachelor’s degree preferred

AIC/CPCU designation preferred

Job description

About the Opportunity

We are seeking an experienced Professional Liability Claims Examiner III to manage complex California professional liability claims, including litigated matters.

This is specifically a Professional Liability/E&O claims position, rather than a traditional General Liability role. The successful candidate will have experience evaluating claims involving professional errors, omissions, standard-of-care issues, economic losses, contracts, and professional services.

The position may be primarily remote; however, candidates must reside in or very near San Diego and be available to attend onsite client meetings and file reviews.

Key Responsibilities

Investigate, evaluate, negotiate, and resolve complex Professional Liability claims.

Review policies and endorsements and make appropriate coverage determinations.

Manage complex and litigated claims through resolution.

Work closely with clients, defense counsel, investigators, and other outside service providers.

Evaluate liability, damages, exposure, and potential economic losses.

Establish and continually evaluate reserves and settlement strategies.

Prepare detailed loss reports analyzing liability and damages.

Identify potential subrogation and risk-transfer opportunities.

Maintain accurate claim diaries, correspondence, reports, and file documentation.

Communicate recommendations regarding exposure, reserves, and settlements to clients.

Independently manage complex caseloads while providing excellent client service.

Qualifications

5+ years of Professional Liability claims handling experience required.

Active California RESIDENT Adjuster’s License required – non-resident license will not qualify.

Must reside in San Diego or the immediate surrounding area.

Experience handling complex and litigated Professional Liability claims.

Strong knowledge of coverage analysis, claims investigation, litigation, negotiation, and case valuation.

Excellent analytical, written, verbal, organizational, and client-service skills.

High school diploma/GED required; bachelor’s degree preferred.

AIC/CPCU or related industry designation preferred.