Senior Liability Claims Adjuster - Remote

Venbrook; Jackson (MS); Remoto; USD 65.000 - 85.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, Dental, Vision, Life, and DI

Paid Holidays

Work-life quality and flexibility

Descrizione del lavoro

Venbrook is seeking an experienced Claims Examiner to manage General Liability, Construction Defect, and Professional Liability claims from notice through resolution in a fully remote role. The position requires handling complex, multi-state files and leveraging coverage analysis and litigation management skills.

Ideal candidates have 3–5 years of commercial claims experience, a multi-state license (NY preferred), and strong knowledge of tower and stackable coverage structures.

Competenze

• 3–5 years of commercial claims handling experience in General Liability, Construction Defect, and/or Professional Liability.
• Tower (vertical) and stackable (layered) coverage structures knowledge.
• Active multi-state adjuster license required.
• New York adjuster license preferred.
• Prior TPA or third-party claims administration experience preferred.
• Familiarity with client-specific handling instructions and billing guidelines is a plus.
• Experience directing outside defense counsel, managing litigation budgets, and attending mediations.
• NY regulatory familiarity is a plus.
• Ability to read and interpret legal documents including complaints, contracts, certificates of insurance, expert reports, and deposition transcripts.
• Proficiency with claims management systems and Microsoft Office Suite; ability to work independently in a fully remote environment while managing multiple files.

Mansioni

• Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution.
• Conduct thorough coverage analysis and issue timely coverage position letters; apply tower and stackable coverage structures.
• Investigate claims by gathering and analyzing contracts, certificates of insurance, site records, expert reports, demand letters, and statements.
• Direct outside defense counsel, monitor litigation budgets, attend mediations and settlement conferences.
• Maintain organized, compliant file documentation in the claims system and provide status updates to insureds, brokers, and carriers.
• Stay current on GL, construction defect, and professional liability law and multi-state regulatory updates.

Conoscenze

Commercial claims handling

Tower/stackable coverage

Multi-state adjuster license

New York adjuster license

TPA/claims administration experience

Client-specific handling instructions

Litigation management

NY regulatory knowledge

Reading legal documents

Claims management systems

Microsoft Office Suite

Formazione

Bachelor’s degree in Business, Risk Management, Finance, or related field

Strumenti

Claims management systems

Microsoft Office Suite

Descrizione del lavoro

Claims Examiner — General Liability & Professional Lines

DEPARTMENT:

Claims ServicesVenbrook Claims is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services. Venbrook's team of experts and industry specialists partners with their clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.Venbrook Claims brings together decades of specialized expertise by integrating respected legacy claims brands, Carl Warren & Company, DMA Claims, and OneSource Claims Management. Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and special investigations unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs, transportation companies, manufacturers, public school systems, and property owners, to name a few.With over a century of combined claims experience, our organization’s legacy brands have been unified as Venbrook Claims to deliver scalable, flexible solutions supported by centralized governance, compliance, and technology infrastructure. This integration has increased efficiency while maintaining the high-quality investigative services and specialized expertise that distinguish our heritage brands.Our team of experts leverages agility, innovation, and creative problem-solving to guide our clients through an ever-changing risk environment. We pride ourselves on providing insurance services that allow businesses to make bold decisions, knowing their risks are identified, assessed, and mitigated.We value agility, versatility, innovation and creative problem solving and put our people at the core of everything we do.

• Medical, Dental, Vision, Life, and Disability Insurance
• Paid Holidays
• Work-life quality and flexibility

Venbrook Claims is seeking an experienced Claims Adjuster to manage a caseload of General Liability, Construction Defect, and Professional Liability claims, including complex and litigated files, from first notice of loss through resolution. The ideal candidate brings 3–5 years of commercial claims handling experience, a working knowledge of tower and stackable coverage structures, and the ability to write clear, well-reasoned coverage position letters independently. This is a fully remote position. Multi-state adjuster licensing is required.

Coverage Analysis & Tower/Stackable Programs

Thorough understanding of General Liability, Construction Defect, and Professional Liability policy forms, including tower (vertical) and stackable (layered) coverage structures. Able to analyze coverage positions independently, draft well-reasoned coverage position letters, and communicate complex coverage determinations clearly to insureds, brokers, and defense counsel.

Investigation & Claims Evaluation

Skilled at investigating commercial GL, construction, and professional liability claims — gathering facts, reviewing contracts, assessing liability exposure, and evaluating damages with a structured, file-documented approach. Comfortable managing both pre-litigation and litigated files concurrently.

Litigation Management

Experienced in directing outside defense counsel, managing litigation budgets, monitoring case strategy, and attending mediations and settlement conferences. Knows when to escape and documents reasoning clearly in file notes. Proactive in file status updates and comfortable presenting claims at roundtables or client claim reviews.

Jurisdictional & Regulatory Knowledge

Working knowledge of multi-state claims handling requirements, prompt payment obligations, and reservation of rights standards. New York licensure and familiarity with NY-specific GL and professional liability regulations is a strong asset.

TPA & Program Claims Experience

Prior third-party administrator (TPA) experience handling program or manuscript policy claims is strongly preferred. Familiarity with client-specific handling instructions, billing guidelines, and claim review formats is a significant differentiator.

Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution, including pre-litigation and litigated files of varying complexity. Conduct thorough coverage analysis on all new losses; issue timely, well-documented coverage position letters; apply tower and stackable coverage structures accurately; Investigate claims by gathering and analyzing relevant documentation including contracts, certificates of insurance, site records, expert reports, demand letters, and witness statements to assess liability and set accurate, defensible reserves. Review litigation budgets; approve legal expenses in line with client billing guidelines; document reserve rationale clearly in file notes; Proactively communicate with insureds, brokers, and carriers on claim status, strategy, and significant developments; prepare written status reports and present at client claim reviews as required. Maintain organized, compliant file documentation in the claims management system; document strategic decisions with clarity, focus, and forward momentum in all file activity. Stay current on developments in GL, construction defect, and professional liability law, as well as multi-state regulatory updates affecting coverage interpretation and claims handling obligations.

• 3–5 years of commercial claims handling experience, including General Liability, Construction Defect, and/or Professional Liability
• Demonstrated experience with tower (vertical) and stackable (layered) coverage structures
• Active multi-state adjuster license required
• New York adjuster license preferred
• Prior TPA or third-party claims administration experience strongly preferred
• Familiarity with client-specific handling instructions and billing guidelines is a plus
• Experience directing outside defense counsel, managing litigation budgets, and attending mediations and settlement conferences
• NY regulatory familiarity is a plus
• Ability to read and interpret legal documents including complaints, contracts, certificates of insurance, expert reports, and deposition transcripts
• Proficiency with claims management systems and Microsoft Office Suite; ability to work independently in a fully remote environment while managing multiple active files

Bachelor’s degree in Business, Risk Management, Finance, or a related field; 3–5 years of commercial claims handling experience in General Liability, Construction Defect, and/or Professional Liability; Active multi-state adjuster license required; New York adjuster license preferred; Insurance designation (e.g.,\"