Senior Complex Liability Claims Adjuster

Raphael & Associates; United States; On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Base salary

Incentives

Healthcare: medical, dental, vision, &

Life insurance

401(k) with company match

Paid time off

Job summary

Raphael & Associates, a global third-party claims administrator, seeks an experienced Complex Liability Claims Adjuster to manage high-exposure General and Excess Liability claims.

You will analyze coverage, negotiate settlements, manage litigated matters with defense counsel, and maintain reserves, while collaborating with insureds, brokers, and internal partners. Active NY adjuster license required; state licensing as applicable.

Qualifications

• 7–10+ years handling complex high-exposure General Liability and/or Excess Liability claims.
• Active Resident State Licensing or Active Non-Resident State Licensing and a New York Adjuster license.
• Litigation experience from inception through resolution.
• Strong knowledge of liability coverage, tort law, and claims handling best practices.
• Excellent negotiation, analytical, and decision-making skills.
• Strong written and verbal communication abilities.
• Ability to independently manage a complex caseload in a fast-paced environment.
• Proficiency with claims management systems and Microsoft Office Suite.

Responsibilities

• Investigate, evaluate, and resolve complex General Liability and Excess Liability claims, including high-exposure bodily injury, property damage, catastrophic losses, and litigated matters.
• Analyze coverage, liability, damages, and exposure to develop effective claim strategies.
• Establish, maintain, and adjust reserves in accordance with company guidelines and best practices.
• Manage litigated claims in partnership with defense counsel, including oversight of pleadings, discovery, motion practice, mediation, and trial preparation.
• Review medical records, expert reports, and damage evaluations to assess claim exposure.
• Negotiate settlements within authority and provide recommendations on high-value claims.
• Maintain accurate, timely, and well-documented claim files.
• Communicate effectively with insureds, claimants, attorneys, brokers, and internal business partners.
• Ensure compliance with regulatory requirements, company standards, and service expectations.

Skills

Negotiation

Analytical thinking

Decision making

Communication

Claims systems

Microsoft Office

Education

Active State License

New York Adjuster license

Tools

Claims management systems

Microsoft Office Suite

Job description

Raphael & Associates, a global third-party claims administrator, seeks an experienced Complex Liability Claims Adjuster to manage high-exposure General and Excess Liability claims.

You will analyze coverage, negotiate settlements, manage litigated matters with defense counsel, and maintain reserves, while collaborating with insureds, brokers, and internal partners. Active NY adjuster license required; state licensing as applicable.