Senior Specialty Claims Examiner

Posted 2 Days Ago
Be an Early Applicant
5 Locations
Remote or Hybrid
128K-175K Annually
Senior level
Insurance
The Role
Investigate, evaluate, negotiate, and resolve highly complex specialty claims involving environmental, toxic tort, abuse, employment practices, construction defects, and class actions. Manage litigation strategy, reserves, defense costs, settlements, and file resolution while collaborating with attorneys, experts, insureds, claimants, and underwriters. Attend legal proceedings, provide customer service, report claims trends, and maintain compliance with best practices.
Summary Generated by Built In

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. #LI-SB1 #LI-Hybrid #LI-Remote

Skills Required

  • Appropriate state adjuster licenses and continuing education credits, or ability to secure and maintain them
  • Bachelor's degree in Business Administration, Risk Management, or a related field
  • Six years of insurance experience handling high-complexity, high-severity claims, including specialty claims
  • Alternatively, eight years of insurance experience handling high-complexity, high-severity claims, including specialty claims
  • Ability to travel overnight up to 20%
  • Litigation and mediation management experience
  • Experience adjudicating highly complex claims at the highest authority limits
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The Company
HQ: Van Wert, OH
603 Employees
Year Founded: 1876

What We Do

Since our beginning in 1876, Central Insurance has evolved into a successful property and casualty group operating on a strong foundation of core values including Integrity in the way we operate our business; Relationships we develop working as a team and sharing in each others’ successes; and Excellence achieved by never compromising on quality, providing superior performance, and pursuing continual improvements. Our commitment to excellence is reflected in our combined assets totaling over $1 billion and our A.M. Best rating of "A"​ Excellent. Central's companion stock company, All America Insurance Company, was established in April 1961 as an answer to the competitive pressures created by companies deviating from manual rates. Today, All America is a wholly-owned stock affiliate.

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