Professional Liability Claims Examiner III

Lynn Rodens; San Diego (CA); Hybrid; USD 80,000 - 90,000; Full time

Job summary

Lynn Rodens is seeking an experienced Professional Liability Claims Examiner III to manage complex California professional liability claims, including litigated matters. This role focuses on professional liability/E&O rather than general liability and requires evaluating professional errors, omissions, and economic losses.

The position supports hybrid/remote work with on-site client meetings in San Diego. California license and at least 5 years of professional liability experience are required;

Qualifications

• 5+ years of Professional Liability claims handling experience.
• Active California Resident Adjuster’s License required.
• 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.
• 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 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.

Skills

Professional Liability claims handling

Coverage analysis

Litigation coordination

Negotiation

Client service

File documentation

Education

High school diploma or GED

Bachelor's degree 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.

Location

San Diego, CA – Hybrid/Remote

Salary

$80,000–$90,000

Employment

Direct Hire

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.