Professional Liability Claims Adjuster

Network Adjusters is seeking skilled insurance claims adjusters with experience in General Liability, Professional Liability, Employment Practices Liability, Directors & Officers Liability, Errors & Omissions, and/or Cyber claims . As a Claims Adjuster, you will investigate, evaluate, analyze coverage and exposure, and manage assigned commercial claims of varying complexity in accordance with Network Adjusters' Best Practices and client-specific requirements.

The position includes both first- and third-party Cyber exposures and requires strong analytical, coverage, litigation management, negotiation, and written communication skills The Claims Adjuster will provide quality claim handling and exceptional client service throughout the claims process while effectively managing indemnity, expense, reserves, and diary requirements.

About the Role

Handle commercial claims of varying complexity and severity under General Liability (GL), Professional Liability (PL), Employment Practices Liability (EPL), Directors & Officers Liability (D&O), Errors & Omissions (E&O), and Cyber coverages.

Claims may include allegations of professional negligence, errors or omissions in the performance of professional services, employment-related wrongful acts, discrimination, harassment, retaliation, wrongful termination, management and corporate wrongful acts, breach of duty, misrepresentation, and other professional or management liability exposures.

Cyber claims may include both first-party and third-party exposures, including privacy and network security incidents, data breaches, ransomware and other cyber events, business interruption, data and system restoration, incident response expenses, privacy liability, network security liability, and related regulatory or third-party claims.

General Liability assignments may include third-party property damage and other commercial liability exposures.

Responsibilities

• Provide superior customer service to meet the needs of insureds, claimants, carrier clients, and other internal and external stakeholders.
• Fulfill client-specific claim handling requirements, including timely reporting of claim developments, coverage issues, exposure evaluations, reserves, and resolution strategy.
• Review and analyze coverage and apply applicable policy terms, conditions, definitions, exclusions, endorsements, limits, sublimits, retentions, and deductibles.
• Recognize and apply jurisdictional issues affecting coverage, liability, damages, defense obligations, claim handling, and resolution strategy.
• Investigate and evaluate claims to determine relevant facts, coverage, liability, damages, exposure, and potential sources of recovery or risk transfer.
• Manage complex General Liability, Professional Liability, Employment Practices Liability, Directors & Officers Liability, Errors & Omissions, Cyber, and other commercial claims.
• Handle both first- and third-party Cyber claims and coordinate with incident response vendors, forensic professionals, counsel, and other specialists as appropriate.
• Manage litigated claims, including evaluation of pleadings, discovery, expert opinions, defense strategy, legal budgets, significant developments, and settlement opportunities.
• Coordinate with defense counsel, coverage counsel, experts, and other outside professionals as appropriate.
• Develop and continually update claim strategy and plans of action addressing investigation, coverage, liability, damages, litigation, and resolution.
• Establish and maintain appropriate indemnity and expense reserves based on coverage, exposure, damages, litigation posture, and anticipated claim activity.
• Prepare coverage and claim correspondence, including reservation of rights letters, coverage position letters, denial letters, tenders, settlement communications, and other routine or complex correspondence.
• Determine settlement value based on independent judgment and application of applicable coverage, liability, damages, policy limits, retentions, deductibles, and other relevant considerations.
• Negotiate settlements within delegated authority and pursue timely and effective claim resolution.
• Identify and pursue subrogation, contribution, contractual indemnification, and other recovery or risk-transfer opportunities, as appropriate.
• Confer with senior technical claim personnel, carrier clients, counsel, and other subject matter experts regarding complex coverage, liability, litigation, and resolution issues.
• Maintain thorough and timely claim file documentation, diary management, and reporting in accordance with established procedures, Best Practices, and client requirements.
• Ensure compliance with applicable state-specific claim handling regulations and licensing requirements.
• Effectively manage multiple competing priorities, deadlines, reporting requirements, and time-sensitive claim developments.

Qualifications

• College/Technical degree or equivalent business experience.
• Minimum of 3 years of commercial claims handling experience, preferably involving one or more of the following: General Liability, Professional Liability, Employment Practices Liability, Directors & Officers Liability, Errors & Omissions, or Cyber claims.
• Obtain Adjuster licenses as required to meet business needs.
• Complete continuing education requirements necessary to maintain applicable licenses.
• Strong verbal and written communication skills, including the ability to clearly communicate complex coverage, liability, litigation, and claim issues.
• General software proficiency, including Microsoft Word, Outlook, and Excel.
• Strong customer service and relationship-management skills.
• Solid analytical and decision-making skills with the ability to evaluate complex coverage, liability, damages, and litigation issues and make sound claim decisions.
• Excellent negotiation skills and the ability to effectively handle conflict and difficult claim situations.
• Strong organizational and time-management skills.
• Ability to manage multiple claims, deadlines, client requirements, and competing priorities in a changing environment.
• Strong attention to detail and commitment to accuracy.
• Strong investigative, analytical, and problem-solving skills.
• Knowledge of professional and management liability insurance, including Professional Liability, D&O, E&O, and EPL coverages, is preferred.
• Knowledge of Cyber insurance, privacy and network security exposures, incident response, and first- and third-party Cyber claims is beneficial.
• Experience managing litigated professional liability, management liability, employment, Cyber, or other complex commercial claims is beneficial.
• Familiarity with technology-related exposures, privacy and data security issues, professional services exposures, and emerging Cyber risks is beneficial.

Compensation & Benefits

• Training/development and growth opportunities
• 401(k) with company match / retirement planning
• Paid time off / company paid holidays
• Comprehensive health plans including dental and vision coverage
• Flex spending account
• Company paid life insurance
• Company paid long-term disability
• Supplemental life insurance
• Opportunity to buy into short-term disability
• Strong work/family and employee assistance programs

The starting salary for this position is $90,000 and up, depending on factors such as licensure, certifications, and relevant experience. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities.

Locations

Denver, CO and Farmingdale, NY

Remote opportunities may be available for experienced candidates who meet all required criteria.

About Network Adjusters

Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York and Denver to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients’ claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical to effective claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.