Complex Liability Claims Adjuster
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Job Description
Complex Liability Claims Adjuster managing high-exposure general and excess liability claims for Raphael & Associates, a global third-party claims administrator. Handling coverage, litigation, reserves, negotiations, and resolution.
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 with insureds, claimants, attorneys, brokers, and internal business partners
- Ensure compliance with regulatory requirements, company standards, and service expectations
Requirements:
- 7–10+ years of experience handling complex, high-exposure General Liability and/or Excess Liability claims
- Active Resident State Licensing or Active Non-Resident State Licensing required
- Active New York Adjuster license required
- Demonstrated experience managing litigated casualty claims 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
Benefits:
- Excellent Salary
- Multiple Bonus Opportunities
- Medical Benefits including Dental, Vision and Life
- Paid Holidays/Vacation
- 401(k) Plan
- Flex-Time
- Educational Assistance Program
- Performance-based incentives
- Paid time off
- Comprehensive medical, dental, vision, and life insurance
- 401(k) plan with company matching
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