Claim Professional II

• Investigate and evaluate insurance claims, analyzing liability, damages, coverage, and overall exposure to determine appropriate courses of action.
• Develop and execute claim resolution strategies, including risk transfer, mediation, litigation management, negotiation, and proactive claim handling.
• Analyze policy language and coverage obligations and prepare written coverage determinations, partnering with coverage counsel when appropriate.
• Establish and manage timely and accurate reserves based on coverage, liability, damages, and anticipated claim exposure.
• Coordinate litigation by selecting and managing defense counsel and experts, reviewing pleadings and litigation plans, and monitoring budgets and invoices.
• Maintain complete and accurate electronic claim files, documenting contacts, communications, transactions, evaluations, and other relevant activity.
• Deliver exceptional service by communicating professionally with insureds, claimants, clients, business partners, counsel, and other stakeholders.
• Provide timely responses, updates, and requested information throughout the life of each claim.
• Drive claims toward resolution and closure by collaborating with internal and external partners and taking ownership of agreed resolution strategies.
• Identify significant risks and losses, keep leadership informed of developing exposures, and prepare loss summaries and other management reports.
• Prepare and present claim evaluations, status updates, and recommendations to leadership and designated clients or stakeholders.
• Maintain current subject matter expertise and ensure claim handling complies with applicable state and local regulatory requirements.
• Prepare clear, accurate, and well-written reports for management, clients, and other designated recipients.
• Participate in mediations, court proceedings, and other claim-related activities as needed, with occasional travel where required.

Requirements

• At least 2 years of professional experience handling insurance claims, with strong knowledge of claims management and coverage practices.
• Experience with cyber exposures and/or general liability claims is preferred.
• Undergraduate degree or paralegal certificate required.
• Independent adjuster licenses are required.
• Strong understanding of coverage analysis, liability assessment, damages evaluation, reserves, litigation, and claim resolution strategies.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and Microsoft Teams.
• Strong analytical and problem-solving skills, with the ability to evaluate complex information and make sound decisions independently.
• Excellent written and verbal communication skills, particularly for preparing reports, coverage determinations, claim evaluations, and leadership presentations.
• Strong organizational and case-management abilities, with the capacity to manage multiple claims, deadlines, stakeholders, and priorities.
• Professional, customer-focused approach when interacting with insureds, claimants, clients, legal professionals, and business partners.
• Ability to exercise sound judgment, identify significant risks, and proactively move claims toward appropriate resolution.
• Willingness to participate in mediations, court proceedings, and occasional travel as required.

Benefits

• Annual salary range of $70,000–$90,000, depending on qualifications and experience.
• Eligibility for a bonus program.
• Paid time off.
• Medical, dental, and vision insurance.
• 401(k) retirement program with employer matching.
• Life insurance.
• Flexible Spending Accounts.
• Long-Term Disability coverage.
• Employee Assistance Program (EAP).
• Fully remote work opportunity within the United States.
• Inclusive and supportive working environment focused on professional development and career growth.