Senior Claims Examiner

Venbrook; United States; On-site; USD 85,000 - 95,000; Full time

Job summary

A claims management firm seeks a full-time TPA Adjuster to manage Commercial General Liability and Commercial Auto programs. The ideal candidate will have strong technical claims expertise and litigation experience. Responsibilities include investigating and resolving claims, managing litigation files, and collaborating with teams. Candidates must have five years' experience and strong communication skills. This position offers a competitive salary between $85,000 and $95,000.

Qualifications

• Minimum five years of experience adjusting Commercial General Liability and Commercial Auto claims.
• Litigation experience required for all lines handled.
• Proven experience managing time and expense billing.

Responsibilities

• Investigate, evaluate, resolve assigned commercial liability and auto claims.
• Conduct thorough coverage analysis and determine appropriate claim outcomes.
• Manage litigation files and collaborate with defense counsel.

Skills

Claims management

Litigation

Negotiation

Analytical skills

Communication skills

Time management

Bilingual English/Spanish

Education

Insurance designations such as AIC, CPCU

Tools

MS Office (Word, Excel, Outlook)

Xactimate

Eagleview

Hover

Job description

TPA Adjuster – Commercial General Liability & Commercial Auto

ONESOURCE CLAIMS MANAGEMENT SOLUTIONS, LLC

Overview

ONESOURCE Claims Management Solutions seeks a full-time TPA Adjuster to manage Commercial General Liability and Commercial Auto programs. The ideal candidate will have strong technical claims expertise, hands‑on litigation experience, and the ability to manage a heavy, complex caseload. Excess claims experience is a plus.

Salary Range: $85,000 – $95,000

Key Responsibilities

• Investigate, evaluate, reserve, negotiate, and resolve assigned commercial liability and auto claims
• Conduct thorough coverage analysis and determine appropriate claim outcomes
• Manage litigation files, collaborate with defense counsel, and attend mediations or settlement conferences when required
• Bill time and expense for all work performed where required
• Interview insureds, claimants, witnesses, and other parties to gather claim information
• Set, review, and adjust reserves consistent with company guidelines
• Prepare technical claim documents, reports, and coverage correspondence
• Manage a full caseload of litigated and non‑litigated files across multiple jurisdictions
• Use claim diary to maintain timely documentation and workflow management
• Respond promptly and professionally to clients, brokers, and internal stakeholders
• Collaborate with team members to support overall departmental success

Qualifications

• Minimum five years of experience adjusting Commercial General Liability and Commercial Auto claims
• Litigation experience required for all lines handled
• Excess claims experience preferred
• Proven experience managing time and expense billing
• Proficiency in evaluating coverage and preparing coverage position letters, RORs, and technical reports
• Strong written and verbal communication skills
• Excellent analytical, negotiation, and decision‑making abilities
• Must manage workload independently and meet deadlines in a fast‑paced environment
• Proficient with MS Office (Word, Excel, Outlook)
• Familiar with industry tools such as Xactimate, Eagleview, or Hover preferred
• Spanish bilingual ability is a plus

Licensing Requirements

Candidate must hold (or be able to promptly obtain) active adjusting licenses in the following states:

California, Nevada, Utah, Arizona, Washington, Florida, Arkansas, Louisiana, North Carolina, South Carolina, Georgia, Oregon, Texas, and New York.

Education

• Insurance designations such as AIC, CPCU, or equivalent preferred

Seniority level

Associate

Employment type

Full‑time

Job function

Customer Service

Industries

Insurance