Senior Claims Examiner

About This Role

Venbrook Claims is seeking an experienced Senior Claims Examiner to manage auto and general liability claims, with a focus on litigated files. This role involves investigating, evaluating, and resolving complex liability claims while maintaining exceptional customer service and file quality standards.

Responsibilities

• Execute client strategies to achieve claims quality, customer service, and operational objectives
• Proactively work claims to ensure file quality meets Venbrook Claims Handling Guidelines, best practices, and client requirements
• Investigate, evaluate, and resolve auto and general liability claims of moderate to high severity
• Manage litigated claims through all phases of litigation including discovery, depositions, mediation, and trial
• Develop strategies for claims resolution with explicit file notes
• Identify issues, assess liability, evaluate damages, and establish appropriate reserves based on thorough analysis
• Negotiate settlements with claimants, attorneys, and other parties to achieve favorable outcomes within authority limits
• Coordinate with defense counsel on litigation strategy, case evaluation, and settlement recommendations
• Identify and utilize vendors effectively, managing them to achieve satisfactory results on both expense and indemnity costs
• Maintain timely diary of claims and ensure high level of productivity measured by age and complexity of caseload
• Consistently achieve audit scores of 90% and above through adherence to quality standards and best practices
• Provide excellent customer service to internal and external customers through responsive communication and quality work product
• Prepare reports for clients and present claims in roundtable settings or claim reviews as required
• Travel up to 25% for field work, court appearances, depositions, and mediations
• Support team members and contribute to collaborative work environment

Requirements

• 4+ years handling auto and/or general liability claims for a standard insurance carrier
• 2+ years' experience handling litigated claims with well-developed understanding of the litigation process
• Strong claim evaluation skills with ability to identify issues, formulate action plans, assess liability, and evaluate damages
• Proven negotiation skills with track record of achieving favorable settlement outcomes
• Excellent verbal and written communication skills
• Strong analytical and problem-solving skills
• High level of personal responsibility and pride in work product
• Ability to function and support others in a team environment
• Strong knowledge of Microsoft Office and claims software applications
• Ability to read and understand legal documents including complaints, pleadings, and discovery
• Ability to function well in a high-paced and, at times, stressful environment
• Willingness to travel up to 25% for field work and court appearances

Qualifications

• 4+ years handling auto and/or general liability claims for a standard insurance carrier; 2+ years' experience handling litigated claims.

Skills

* Required skills

Benefits