Senior Claims Examiner — General Liability & Professional Lines

JOB TITLE: Claims Examiner — General Liability & Professional Lines

DEPARTMENT: Claims Services

COMPANY OVERVIEW:

Venbrook Claims is the claims business group of Venbrook Group, LLC, a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services. Venbrook's team of experts and industry specialists partners with their clients to manage their risks, create security, promote growth, and add value by delivering best-in-class commercial property & casualty, employee benefits, and personal risk insurance products and programs.

Venbrook Claims brings together decades of specialized expertise by integrating respected legacy claims brands, Carl Warren & Company, DMA Claims, and OneSource Claims Management. Venbrook works across the claims lifecycle with services that include Third Party Administration (TPA), Complex Claims Management, Catastrophe, Independent Adjusting, subrogation recovery, litigation management, investigative, and special investigations unit (SIU) services. Venbrook Claims has long-term clients across the public and private sectors, including insurance companies, captives, MGAs, transportation companies, manufacturers, public school systems, and property owners, to name a few.

With over a century of combined claims experience, our organization’s legacy brands have been unified as Venbrook Claims to deliver scalable, flexible solutions supported by centralized governance, compliance, and technology infrastructure. This integration has increased efficiency while maintaining the high-quality investigative services and specialized expertise that distinguish our heritage brands.

At Venbrook, we envision a world where our clients can confidently pursue their boldest ambitions. Our team of experts leverages agility, innovation, and creative problem-solving to guide our clients through an ever-changing risk environment. We pride ourselves on providing insurance services that allow businesses to make bold decisions, knowing their risks are identified, assessed, and mitigated.

Our culture is derived from the people who create it. We are not different in what we do. We are different in how we do it. We believe our clients are our partners, and we earn their trust every day. We believe in empowering our team and holding ourselves accountable to deliver the best solutions. We value agility, versatility, innovation and creative problem solving and put our people at the core of everything we do.

We offer competitive compensation and a comprehensive benefits package:

• 401k + employee match
• Medical, Dental, Vision, Life, and Disability Insurance
• Paid Time Off (PTO)
• Paid Holidays
• Paid Parental leave
• Paid Sick leave
• Professional development programs
• Work-life quality and flexibility

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JOB SUMMARY:

Venbrook Claims is seeking an experienced Claims Adjuster to manage a caseload of General Liability, Construction Defect, and Professional Liability claims, including complex and litigated files, from first notice of loss through resolution. The ideal candidate brings 3–5 years of commercial claims handling experience, a working knowledge of tower and stackable coverage structures, and the ability to write clear, well-reasoned coverage position letters independently. This is a fully remote position. Candidates located in the Central or Eastern time zone are strongly preferred, as the majority of our clients operate in those regions and core hours are 8:00 AM–5:00 PM Central. Multi-state adjuster licensing is required; New York licensure is preferred.

POSITION REQUIREMENTS: (OPTIONAL)

Coverage Analysis & Tower/Stackable Programs: Thorough understanding of General Liability, Construction Defect, and Professional Liability policy forms, including tower (vertical) and stackable (layered) coverage structures. Able to analyze coverage positions independently, draft well-reasoned coverage position letters, and communicate complex coverage determinations clearly to insureds, brokers, and defense counsel.

Investigation & Claims Evaluation: Skilled at investigating commercial GL, construction, and professional liability claims — gathering facts, reviewing contracts, assessing liability exposure, and evaluating damages with a structured, file-documented approach. Comfortable managing both pre-litigation and litigated files concurrently.

Litigation Management: Experienced in directing outside defense counsel, managing litigation budgets, monitoring case strategy, and attending mediations and settlement conferences. Knows when to escalate and documents reasoning clearly in file notes.

Client Service & Communication: Responsive and professional across all stakeholder groups — insureds, brokers, defense counsel, and carriers. Proactive in file status updates and comfortable presenting claims at roundtables or client claim reviews.

Jurisdictional & Regulatory Knowledge: Working knowledge of multi-state claims handling requirements, prompt payment obligations, and reservation of rights standards. New York licensure and familiarity with NY-specific GL and professional liability regulations is a strong asset.

TPA & Program Claims Experience: Prior third-party administrator (TPA) experience handling program or manuscript policy claims is strongly preferred. Familiarity with client-specific handling instructions, billing guidelines, and claim review formats is a significant differentiator.

DUTIES/RESPONSIBILITIES:

EXAMPLES

• Manage a caseload of General Liability, Construction Defect, and Professional Liability claims from first notice of loss through resolution, including pre-litigation and litigated files of varying complexity.
• Conduct thorough coverage analysis on all new losses; issue timely, well-documented coverage position letters; apply tower and stackable coverage structures accurately; and ensure compliance with jurisdictional prompt payment and reservation of rights requirements.
• Investigate claims by gathering and analyzing relevant documentation including contracts, certificates of insurance, site records, expert reports, demand letters, and witness statements to assess liability and set accurate, defensible reserves.
• Assign, direct, and manage outside defense counsel; review litigation budgets; monitor defense strategy; approve legal expenses in line with client billing guidelines; and attend mediations, settlement conferences, and depositions as required.
• Maintain accurate and timely reserves on all files; document reserve rationale clearly in file notes; escalate reserve changes exceeding authority per client and company protocols; consistently achieve file audit scores of 90% or above.
• Proactively communicate with insureds, brokers, and carriers on claim status, strategy, and significant developments; prepare written status reports and present at client claim reviews as required.
• Maintain organized, compliant file documentation in the claims management system; ensure all diary and file activity meets audit standards and adheres to client-specific handling instructions and Best Practices guidelines.
• Identify subrogation, contribution, and recovery opportunities on applicable files; coordinate with the subrogation team as warranted.
• Develop resolution strategies focused on minimizing indemnity and expense exposure; document strategic decisions with clarity, focus, and forward momentum in all file activity.
• Stay current on developments in GL, construction defect, and professional liability law, as well as multi-state regulatory updates affecting coverage interpretation and claims handling obligations.

REQUIRED SKILLS/ABILITIES:

• 3–5 years of commercial claims handling experience, including General Liability, Construction Defect, and/or Professional Liability
• Demonstrated experience with tower (vertical) and stackable (layered) coverage structures; ability to write clear, independent coverage position letters is a non-negotiable requirement
• Active multi-state adjuster license required; New York adjuster license is preferred; willingness to obtain additional state licenses as needed
• Prior TPA or third-party claims administration experience strongly preferred; familiarity with client-specific handling instructions and billing guidelines is a plus
• Strong written communication skills; ability to produce professional, well-organized coverage letters, status reports, and file documentation under time constraints
• Experience directing outside defense counsel, managing litigation budgets, and attending mediations and settlement conferences
• Working knowledge of multi-state prompt payment, reservation of rights, and coverage dispute procedures; NY regulatory familiarity is a plus
• Ability to read and interpret legal documents including complaints, contracts, certificates of insurance, expert reports, and deposition transcripts
• Proficiency with claims management systems and Microsoft Office Suite; ability to work independently in a fully remote environment while managing multiple active files

EDUCATION & EXPERIENCE:

• Bachelor’s degree in Business, Risk Management, Finance, or a related field; or equivalent combination of education and experience
• 3–5 years of commercial claims handling experience in General Liability, Construction Defect, and/or Professional Liability; TPA background strongly preferred
• Active multi-state adjuster license required; New York adjuster license preferred; willingness to obtain additional state licenses required as a condition of employment
• Insurance designation (e.g., AIC, CPCU, ARM) preferred; ongoing continuing education encouraged and supported

Salary $95-$110k

Originally posted on Himalayas