About the role
Determine coverage — including additional insured and contractual tender analysis (in and out) — and draft clear, well-reasoned coverage position letters. Investigate complex commercial casualty claims, determine liability, and set/adjust reserves (loss and ALAE) proactively and responsively. Evaluate claims, negotiate settlements, and authorize payment or denial — including coverage denials and coverage litigation management when warranted. Review lawsuits, construction contracts, and certificates of Insurance; build resolution strategies for claims, coverage disputes, and litigation. Analyze allocation, co-carrier contributions, time-on-risk, and covered vs. non-covered damages. Manage tenders across multiple parties — Owners, Developers, Construction Managers, General Contractors, and Subcontractors. Maintain clear, well-organized file documentation and data capture to support trend analysis and reporting, including Large Loss Reports. Build and lead the right resolution team for each matter — Defense Counsel, Home Office Legal/Litigation, and Outside Coverage Counsel as needed — and oversee outside counsel practices and billing. Serve as a trusted point of contact for Policyholders, Brokers, Co-Carriers, Excess and Fronting Carriers, and internal partners across Underwriting, Client Services, and Billing. Mentor and train other claims professionals, and stay ahead of legislative, judicial, and industry trends that affect specialty coverage. Contribute to special projects that shape how the team operates. An experienced claims professional with a strong commercial casualty and/or construction defect background, sound judgment on complex coverage and liability questions, and the confidence to lead files, mentor others, and manage litigation strategy independently. Bachelor's degree and 5 to 7 years claims adjusting experience. Advanced knowledge of Construction Defect/Commercial General Liability claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment. Advanced to expert level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly