Professional Liability Claims Examiner III

TEEMA Group; San Diego (CA); Hybrid; USD 80,000 - 90,000; Full time

Job summary

TEEMA Group in San Diego, CA is seeking an experienced Personal Liability Claims Examiner to manage complex professional liability and casualty claims from initial review through resolution, including litigated matters. You will review policies, investigate, evaluate, and resolve claims, set reserves, and coordinate with clients, counsel, claimants, and investigators to move files toward resolution.

A California adjuster license and 5+ years of experience are required; a bachelor’s degree or

Qualifications

• At least five years of professional liability claims experience or equivalent.
• Experience independently managing complex claims through litigation, valuation, and settlement.
• Strong knowledge of coverage analysis and claims practices.
• Sound analytical, negotiation, written communication, and decision-making skills.
• Ability to manage competing priorities with clients and involved parties.
• California home-state adjuster license.
• High school diploma or GED; bachelor’s preferred; AIC or CPCU preferred; Word/Excel proficiency.

Responsibilities

• Review policies and endorsements to determine coverage.
• Investigate, evaluate, and resolve complex liability claims, including claims in litigation.
• Work with clients, counsel, claimants, legal representatives, investigators, and other service providers to move claims toward resolution.
• Assess exposure, maintain accurate reserves, and recommend settlement strategies.
• Prepare detailed loss reports analyzing liability, damages, and next steps.
• Identify potential subrogation or risk transfer opportunities and pursue recovery at the client’s direction.
• Maintain a timely claim diary and document correspondence, analysis, and decisions in the claim file.
• Support claim department projects and provide responsive client service.

Skills

Coverage analysis

Claims practices

Analytical skills

Negotiation

Written communication

Decision making

Adjuster license

Education

High school diploma or GED

Bachelor’s degree preferred

AIC/CPCU designation preferred

Tools

Word

Excel

Job description

Job Title:Personal Liability Claims Examiner
Job ID:90617
Location: San Diego, California – Hybrid

Overview:
Our client is seeking an experienced Claims Examiner to manage complex professional liability and casualty claims from initial review through resolution, including litigated matters. This role involves evaluating coverage, investigating liability and damages, setting reserves, developing settlement recommendations, and communicating claim strategy to the client.

What you will be doing:

• Review policies and endorsements to determine coverage.

• Investigate, evaluate, and resolve complex liability claims, including claims in litigation.

• Work with clients, counsel, claimants, legal representatives, investigators, and other service providers to move claims toward resolution.

• Assess exposure, maintain accurate reserves, and recommend settlement strategies.

• Prepare detailed loss reports analyzing liability, damages, and next steps.

• Identify potential subrogation or risk transfer opportunities and pursue recovery at the client’s direction.

• Maintain a timely claim diary and document correspondence, analysis, and decisions in the claim file.

• Support claim department projects and provide responsive client service.

What you must have:

• At least five years of professional liability claims experience or an equivalent combination of advanced education and relevant experience.

• Experience independently managing complex claims and working through litigation, case valuation, and settlement.

• Strong knowledge of coverage analysis, claims practices, and applicable regulations.

• Sound analytical, negotiation, written communication, and decision-making skills.

• Ability to manage competing priorities and work effectively with clients and other involved parties.

• California home-state adjuster license.

• High school diploma or GED required; bachelor’s degree in a related field preferred.
  AIC or CPCU designation, experience across multiple jurisdictions, and proficiency with Word and Excel are preferred.

Salary/Rate Range: $$80,000 – $90,000

If your background includes hands‑on professional liability claims handling and you’re comfortable owning complex files through resolution, we’d like to hear from you.

Thank you for your interest in this opportunity. If you are selected to move forward in the process, we will contact you directly. If you do not hear from us, we encourage you to continue visiting our website for other roles that may be a good fit.

For more information about TEEMA and to consider other career opportunities, please visit our website at www.teemagroup.com