Senior Specialty Claims Examiner

Central Insurance; Alpharetta (GA); Hybrid; USD 128,000 - 175,000; Full time

Job summary

Central Insurance is seeking a Specialty Claims Examiner to manage environmental, toxic tort, and mass tort claims across multiple jurisdictions. The role requires handling highly complex, high severity claims with a focus on coverage analysis and litigation management.

You will collaborate with legal experts, adjusters, and underwriters to drive outcomes and maintain client trust. The ideal candidate holds a state adjuster license, a Bachelor’s in Business Administration or Risk Management, and

Qualifications

• Must possess or secure and maintain appropriate state adjuster licenses and continuing education credits.
• 6 years of insurance experience handling high complexity, high severity claims; specialty claims noted in Essential Job Functions.
• Or 8 years of insurance experience handling high complexity, high severity claims; specialty claims noted in Essential Job Functions.

Responsibilities

• Investigate, evaluate, negotiate and resolve Specialty Claims across multiple jurisdictions.
• Manage primary casualty, umbrella/excess casualty, environmental/pollution, and complex class action claims as needed.
• Develop rapport with agents, insureds, claimants, experts and attorneys; provide proactive service.
• Attend depositions, mediations, and trials as needed; monitor defense budgets and reserves.
• Report trends to senior management and underwriters; support litigation strategy.

Skills

State licenses

Litigation management

High complexity claims

Environmental/toxic tort

Education

Bachelor’s Degree in Business Administration or Risk Management

6 years insurance experience in high complexity claims

Job description

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX

Work Model: Hybrid or Remote based on location

Position type: Full-Time

About The Company

Central Insurance has been family owned and operating since 1876, and we’re just getting started. We’re a property and casualty insurance group that believes great work starts with Integrity, thrives on strong Relationships, and never settles for less than Excellence. With over $2B in assets and an A (Excellent) A.M. Best rating, we offer stability, opportunity, and a team you’ll actually enjoy being part of. We make a difference for our policyholders by providing excellent service and being there in the greatest times of need.

About The Role

We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It’s because we put Integrity, Relationships and Excellence in all aspects of our work.

Our employees have the opportunity to fully utilize their talents and bring their best self. We believe that who you are is just as important as what you do!

Join our dynamic team as a Specialty Claims Examiner and step into a high-impact role where your expertise in environmental, toxic tort, and mass tort claims will drive strategic outcomes. You'll manage intricate, long-tail exposures across multiple jurisdictions, collaborate with legal and industry experts, and serve as a subject matter authority. If you're passionate about complex litigation, coverage analysis, and delivering exceptional results, this is your opportunity to make a difference.

What We Are Looking For

• Must possess or secure and maintain appropriate state adjuster licenses and continuing education credits
• Bachelor’s Degree in Business Administration, Risk Management or related field and 6 years of insurance experience including the handling of high complexity, high severity claims, including those noted as Specialty Claims in the Essential Job Functions section above
• Or 8 years of insurance experience including the handling of high complexity, high severity claims, including those noted as Specialty Claims in the Essential Job Functions section above
• Ability to travel overnight up to 20%
• Litigation and Mediation Management experience- preferred
• Adjudicate highly authority complex claims at the highest authority limits on assignments reflecting the highest degree of technical complexity in liability and litigated claims potentially with major impact on departmental results- preferred

What You'll Do

• Investigate, evaluate, negotiate and resolve Specialty Claims: (e.g., environmental; toxic tort; abuse/sexual offenses; class actions; CGL Coverage B; EPLI; complex, multi-unit or class action construction defect claims; etc.)
• Technical responsibilities may include management of primary casualty, umbrella/excess casualty, complex multi-unit or class action construction defect, environmental/pollution/toxic tort, abuse/sexual offenses, employee practice liability, and class action litigation
• Develop and maintain excellent rapport with our agency force, insureds, claimants, experts, attorneys, and internal customers
• Attend depositions, mediations, settlement conferences and trials as needed
• Provide proactive customer service throughout the life of the file by appropriately setting expectations, building rapport, and responding to requests timely
• Contribute to Team NPS results
• Monitor and collaborate with defense counsel on the development of litigation and resolution strategy throughout the litigation process
• Thorough review of defense budgets and expenses in an effort to control defense costs
• Set accurate reserves in a timely manner and continually review in the context of ultimate probable exposure
• Comply with Best Practice Playbook
• Manage paid losses appropriately; pay what is fair and owed, settle claims at the optimal time in the life of the claim file
• Demonstrate effective and efficient file management through swift resolution of files that warrant settlement
• Retain approved or preferred suppliers whenever possible. Properly manage non-legal expenses
• Report to senior management and underwriters on claims trends and developments

Hiring Range

$128,100–$175,000 represents typical starting salaries and is a portion of the full pay range for the role.

Starting pay is determined based on several factors, including relevant experience, education, skills, and certifications. The full pay range is broader and is designed to provide employees with meaningful opportunities for salary growth as they develop their skills, increase proficiency, and advance in the role.

Total Rewards

Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives.

Central provides extensive health and wellness benefits to promote flexibility, work-life balance, generous paid leave, and long-term financial security.

For more information, see Central Insurance Benefits.

Work Authorization

Central will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1(including those with OPT or CPT), H-1, H-2, L-1, B, J or TN, or who need sponsorship for work authorization now or in the future, are not eligible for hire.

Equal Opportunity Employer

It is the policy of Central that all recruiting, hiring, training, compensation, overtime, job classification and assignment, facilities, promotions, transfers, employee treatment and all other terms and conditions of employment shall be maintained in a manner which will not discriminate against any person because of race, color, age, sex, national origin, ancestry, religion, marital status, military status, or disability. The applicant should respond to questions on this application in a way that will not divulge such information.