Senior Claims Examiner- EPLI Emphasis
This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Senior Claims Examiner – EPLI Emphasis in California (USA). This role is responsible for managing complex claims with a focus on Employment Practices Liability (EPLI) and other specialty lines. The Senior Claims Examiner will independently investigate, evaluate, and resolve claims, applying deep technical knowledge and critical thinking to ensure fair and timely outcomes. The position requires collaboration with legal counsel, third-party claimants, and internal teams, and may involve representing the organization at mediations or arbitration. Ideal candidates have extensive claims handling experience, strong analytical and negotiating skills, and the ability to work independently in a fast-paced, mission-driven environment. This role also supports mentoring of junior staff and contributes to continuous improvement of claims processes. Accountabilities
- Investigate, evaluate, and settle claims within designated authority, ensuring compliance with policies, regulations, and reinsurance requirements.
- Assign and oversee independent adjusters, appraisers, and defense counsel as needed.
- Set and maintain claim reserves and report on claim performance to management and reinsurers.
- Represent the organization in litigation-related settlement conferences, mediation, and arbitration.
- Develop and maintain electronic claim files, documentation, and status reports.
- Collaborate with internal and external stakeholders to ensure timely, accurate, and professional handling of claims.
- Provide guidance, mentorship, and training to peer or junior claims staff.
Requirements
- Minimum of 10 years of progressively responsible claims handling experience, preferably with EPLI, specialty lines, or major case units.
- Four-year college degree or equivalent business experience.
- Deep knowledge of casualty lines, tort law, civil procedure, insurance policies, and contracts.
- Strong analytical, critical thinking, and problem-solving skills with a focus on attention to detail.
- Excellent negotiation, written, and verbal communication skills.
- Ability to manage multiple projects independently and collaboratively in a fast-paced environment.
- Proficiency with PCs and software applications such as Windows, Word, and Outlook.
- Ability to obtain adjuster licenses as required in various states.
- Commitment to professionalism, ethical conduct, and the mission of the organization.
- Ability and willingness to travel as necessary and work productively while on the move.
Benefits
- Competitive salary: $85,000 – $180,000 annually, based on experience, skills, and location.
- Eligibility for additional incentive compensation tied to individual and company performance.
- Remote and flexible work opportunities.
- Professional development and mentoring opportunities.
- Mission-driven, collaborative work environment.
- Access to health, retirement, and other employee benefits (if applicable).
Why Apply Through Jobgether? We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team. We appreciate your interest and wish you the best! Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us. Apply tot his job Apply To this Job