Job Title: Claims Examiner
Location: Jersey City, NJ (Alternate locations, Philadelphia, PA, New Haven, CT)
Duration: 1.5 months Assignment
Shift/Hours: 40hours/week, M to F, 9:00 AM – 5:00 PM, with a 30-minute lunch break.
Work Model: 4 days in-office, 1 day remote.
 
Summary:

• The Claims Examiner is responsible for managing a portfolio of complex casualty claims, including those involving intricate coverage issues and Long Tail Exposure (LTE) claims that span multiple policy periods or involve class action litigation.
• This role requires expertise in handling claims such as concussion/head injury, abuse and molestation, chemical/toxic/environmental exposures, and claims potentially triggering Personal and Advertising Injury coverage under Commercial General Liability, Umbrella, and Excess policies.
• The position demands a high level of technical competence, litigation management skills, and the ability to navigate sensitive and high exposure claims while maintaining professionalism and compliance with company standards.

Key Responsibilities:
Claims Management:

• Investigate, evaluate, and resolve complex casualty claims with potential long-term exposure.
• Draft and issue coverage position letters and maintain accurate documentation in claim files.
• Respond promptly and professionally to inquiries from policyholders, brokers, and internal business partners.

Litigation Oversight:

• Manage coverage litigation and arbitration related to assigned claims.
• Direct and oversee outside counsel in coverage disputes, ensuring alignment with company strategy.
• Develop litigation and resolution strategies, manage discovery requests, and participate in depositions, mediations, and trials as necessary.

 Collaboration & Communication:

• Work closely with internal stakeholders to provide updates and recommendations on claim status and litigation progress.
• Maintain strong relationships with clients and business partners, delivering exceptional customer service.

Required Skills & Competencies:

• Strong organizational skills with the ability to manage multiple complex claims simultaneously.
• Excellent written and verbal communication skills, including drafting legal and coverage-related documents.
• Effective negotiation and interpersonal skills for managing sensitive claims and litigation.
• Ability to work independently in a complex operating environment, demonstrating sound judgment and issue-spotting capabilities.
• Comfort and willingness to handle claims involving abuse, sexual molestation, and other sensitive exposures.

 Education & Experience:

• Minimum 5 years of experience as a licensed claims professional with specialized expertise in:

• Litigation management
• Complex coverage issues
• High-exposure and/or long-term exposure claims
• Coverage litigation
• Law degree preferred but not required.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws. This position’s starting pay is: $ 42.23/hr.