Senior Complex Commercial Claims Adjuster (Remote/Hybrid)

WCF Insurance; Las Vegas (NV); On-site; USD 89,000 - 111,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401K with 6% employer match

Employee Assistance Program (EAP)

Volunteer time off

4 weeks vacation

Job summary

WCF Insurance is seeking a Complex Commercial Liability Claims Adjuster to join the Commercial General Liability team. This full-time role investigates high-exposure claims, determines coverage, and collaborates with defense counsel to achieve favorable outcomes.

Candidates should have 5+ years handling complex claims in commercial insurance, including liability, construction, and E&O. A valid license and strong negotiation, communication, and analytical skills are essential.

Qualifications

• At least 5 years of experience handling complex claims and litigation in commercial insurance.
• Experience with construction liability, D&O, and E&O claims is a plus.
• Advanced understanding of state-specific unfair claims practices regulations, policy contracts, and commercial insurance principles.
• Strong knowledge of tort law, insurance coverage, litigation procedures, and negotiation strategies.
• Knowledge of general liability coverage and related insurance principles.
• Ability to interpret medical records, accident reconstruction reports, and legal filings.
• Strong understanding of medical, automotive, and liability terminology and concepts.
• Ability to communicate effectively, both orally and in writing.
• Exceptional organizational, time management, and decision-making skills.

Responsibilities

• Manage a caseload of complex bodily injury claims, including those involving catastrophic injuries and fatalities.
• Conduct thorough investigations, including reviewing police reports, medical records, expert evaluations, and witness statements.
• Assess liability, damages, and coverage to make strategic claim decisions.
• Collaborate with legal counsel in litigation management, including attending mediations, depositions, and trials as necessary.
• Evaluate and negotiate settlements within authority limits while balancing cost efficiency and claim resolution.
• Communicate effectively with policyholders, claimants, attorneys, and other involved parties.
• Ensure compliance with company policies, regulatory requirements, and best practices.
• Provide recommendations on reserve adjustments based on claim developments.
• Work with internal teams, including underwriting, product, and legal, to provide feedback on loss trends and potential risk factors.
• May act as a department trainer regarding the handling of complex injury claims and the litigation process.

Skills

Complex claims experience

Litigation management

Policy contracts

Tort law

Medical records interpretation

Negotiation strategies

Communication skills

Organizational skills

Decision making

Job description

WCF Insurance is seeking a Complex Commercial Liability Claims Adjuster to join the Commercial General Liability team. This full-time role investigates high-exposure claims, determines coverage, and collaborates with defense counsel to achieve favorable outcomes.

Candidates should have 5+ years handling complex claims in commercial insurance, including liability, construction, and E&O. A valid license and strong negotiation, communication, and analytical skills are essential.