Senior Complex Liability Claims Adjuster – High-Exposure

Raphael and Associates; United States; Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Competitive compensation

Performance-based incentives

Paid time off

Medical insurance

Dental insurance

Vision insurance

Life insurance

401(k) plan with company matching

Job summary

Raphael & Associates seeks an experienced Complex Liability Claims Adjuster to manage high-exposure General Liability and Excess Liability claims. The role requires strong analytical, negotiation, and coverage expertise and collaboration with defense counsel, insureds, brokers, and internal stakeholders.

The organization emphasizes excellence through collaboration and technology, offering a competitive compensation package and opportunities for professional growth in a fast-paced environment.

Qualifications

• 7–10+ years of experience handling complex, high-exposure General Liability and/or Excess Liability claims.

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

Tools

Claims management systems

Microsoft Office Suite

Job description

Raphael & Associates seeks an experienced Complex Liability Claims Adjuster to manage high-exposure General Liability and Excess Liability claims. The role requires strong analytical, negotiation, and coverage expertise and collaboration with defense counsel, insureds, brokers, and internal stakeholders.

The organization emphasizes excellence through collaboration and technology, offering a competitive compensation package and opportunities for professional growth in a fast-paced environment.