Complex Claims Adjuster -ENV

Accountabilities: • Evaluate and resolve complex environmental liability coverage issues involving private and public companies, governmental entities, municipalities, and other insureds.

• Investigate claims through interviews, written correspondence, telephone conversations, and direct contact with claimants, attorneys, insureds, agents, witnesses, and other relevant parties.

• Analyse claim information, legal complaints, litigation reports, and relevant trends to assess liability, coverage, and ultimate exposure.

• Review policy terms and determine coverage availability, preparing clear and accurate coverage position letters for insureds and agents.

• Evaluate, negotiate, and resolve claims within delegated authority, using appropriate denials, releases, and settlement strategies.

• Present complex claims, trends, coverage considerations, liability assessments, and exposure evaluations to claims and underwriting leadership.

• Manage claims involving environmental pollution, contamination, hazardous materials, and toxic torts such as asbestos, silica, diacetyl, and benzene.

• Coordinate with legal counsel, brokers, consultants, remediation experts, insureds, and other stakeholders to support claim resolution.

• Monitor litigation, report cases proceeding to trial in a timely manner, and attend trial proceedings when required by management.

• Ensure appropriate reinsurance referrals are made and provide timely updates to relevant reinsurers.

• Plan, conduct, and review claims assessments and settlement conferences.

• Mediate complaints and disputes related to claim handling and resolution.

• Travel within the assigned territory as required, including occasional automobile travel.

Requirements:

• At least 8 years of claims handling experience involving primary or duty-to-defend policies.

• Significant experience handling environmental and toxic tort claims with a primary property and casualty insurance carrier.

• Strong expertise in complex coverage analysis, claim evaluation, and preparation of coverage position letters.

• Proven experience evaluating significant large-loss claims and assessing exposures, expenses, and liability.

• Ability to analyse claims, legal complaints, litigation reports, and claim trends to identify issues and inform decisions.

• Strong strategic negotiation, claim disposition, and problem-solving skills.

• Excellent written and verbal communication skills, with the ability to explain complex coverage and liability issues clearly.

• Strong presentation skills and the ability to communicate effectively with claims leadership, underwriting, insureds, and external stakeholders.

• Moderate proficiency with standard business software, including Microsoft Outlook, Excel, and PowerPoint.

• Accurate and efficient keyboarding and data-entry skills.

• Valid state-issued driver’s license in good standing and ability to drive.

• Preferred: Juris Doctor (JD) or Master of Business Administration (MBA).

Benefits:

• Annual base salary: $124,000–$160,000, depending on geographic location, qualifications, experience, skills, performance, and business needs.

• Competitive base salary and incentive plan eligibility.

• Remote work arrangement.

• Comprehensive healthcare plans.

• Retirement savings plan with company match.

• Discounted Employee Stock Purchase Program.

• Tuition assistance and reimbursement programs.

• 20 days of paid time off.

• Benefits designed to support employee health, financial wellbeing, and work-life balance.

How Jobgether works: We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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