Complex Claims Adjuster -ENV

This position is listed on behalf of a partner company, which manages all applications and next steps. Our partner is looking for a Complex Claims Adjuster – Environmental based in the United States.

The Complex Claims Adjuster – Environmental will manage sophisticated environmental liability and toxic tort claims, ensuring accurate coverage assessments and effective claim resolution. This remote position is suited to an experienced claims professional with expertise in environmental exposures, complex policy interpretation, and large-loss evaluations. You will investigate pollution incidents, contamination, hazardous material releases, and related property damage or bodily injury claims. Working closely with insureds, legal counsel, brokers, consultants, and remediation specialists, you will evaluate liability, coverage, and financial exposure. You will also negotiate settlements, support litigation strategy, and provide insights to claims and underwriting leadership. Your expertise will help deliver timely, compliant, and customer-focused outcomes across a complex claims portfolio.

Accountabilities:

• Evaluate and resolve complex environmental liability coverage issues involving private and public companies, governmental entities, municipalities, and other insureds.

• Investigate claims through interviews, written correspondence, telephone conversations, and direct contact with claimants, attorneys, insureds, agents, witnesses, and other relevant parties.

• Analyse claim information, legal complaints, litigation reports, and relevant trends to assess liability, coverage, and ultimate exposure.

• Review policy terms and determine coverage availability, preparing clear and accurate coverage position letters for insureds and agents.

• Evaluate, negotiate, and resolve claims within delegated authority, using appropriate denials, releases, and settlement strategies.

• Present complex claims, trends, coverage considerations, liability assessments, and exposure evaluations to claims and underwriting leadership.

• Manage claims involving environmental pollution, contamination, hazardous materials, and toxic torts such as asbestos, silica, diacetyl, and benzene.

• Coordinate with legal counsel, brokers, consultants, remediation experts, insureds, and other stakeholders to support claim resolution.

• Monitor litigation, report cases proceeding to trial in a timely manner, and attend trial proceedings when required by management.

• Ensure appropriate reinsurance referrals are made and provide timely updates to relevant reinsurers.

• Plan, conduct, and review claims assessments and settlement conferences.

• Mediate complaints and disputes related to claim handling and resolution.

• Travel within the assigned territory as required, including occasional automobile travel.

Requirements:

• At least 8 years of claims handling experience involving primary or duty-to-defend policies.

• Significant experience handling environmental and toxic tort claims with a primary property and casualty insurance carrier.

• Strong expertise in complex coverage analysis, claim evaluation, and preparation of coverage position letters.

• Proven experience evaluating significant large-loss claims and assessing exposures, expenses, and liability.

• Ability to analyse claims, legal complaints, litigation reports, and claim trends to identify issues and inform decisions.

• Strong strategic negotiation, claim disposition, and problem-solving skills.

• Excellent written and verbal communication skills, with the ability to explain complex coverage and liability issues clearly.

• Strong presentation skills and the ability to communicate effectively with claims leadership, underwriting, insureds, and external stakeholders.

• Moderate proficiency with standard business software, including Microsoft Outlook, Excel, and PowerPoint.

• Accurate and efficient keyboarding and data-entry skills.

• Valid state-issued driver’s license in good standing and ability to drive.

• Preferred: Juris Doctor (JD) or Master of Business Administration (MBA).

Benefits:

• Annual base salary: $124,000–$160,000, depending on geographic location, qualifications, experience, skills, performance, and business needs.

• Competitive base salary and incentive plan eligibility.

• Remote work arrangement.

• Comprehensive healthcare plans.

• Retirement savings plan with company match.

• Discounted Employee Stock Purchase Program.

• Tuition assistance and reimbursement programs.

• 20 days of paid time off.

• Benefits designed to support employee health, financial wellbeing, and work-life balance.