Complex Liability Claims Adjuster

🕒 August 8

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

📋 Claims Specialist

👻 Ghost score 18%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Raphael & Associates

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1978

🛡️ Insurance

🏢 Enterprise

📋 Compliance

Insurance • Enterprise • Compliance

Raphael & Associates is a Third Party Administrator and Independent Claims Adjusting company internationally recognized for its exceptional service and unsurpassed reputation in nationwide claims handling. With a strong focus on property and casualty claims, the company provides comprehensive claims management, field adjusting, and loss control services tailored to meet the needs of various clients, including self-insured and public entities. Through strategic partnerships and regional offices across the country, Raphael & Associates is dedicated to maintaining high standards of service and leveraging technology to improve the claims process.

📋 Description

• Investigate, evaluate, and resolve complex General Liability and Excess Liability claims, including high-exposure bodily injury, property damage, catastrophic losses, and litigated matters • Analyze coverage, liability, damages, and exposure to develop effective claim strategies • Establish, maintain, and adjust reserves in accordance with company guidelines and best practices • Manage litigated claims in partnership with defense counsel, including oversight of pleadings, discovery, motion practice, mediation, and trial preparation • Review medical records, expert reports, and damage evaluations to assess claim exposure • Negotiate settlements within authority and provide recommendations on high-value claims • Maintain accurate, timely, and well-documented claim files • Communicate with insureds, claimants, attorneys, brokers, and internal business partners • Ensure compliance with regulatory requirements, company standards, and service expectations

🎯 Requirements

• 7–10+ years of experience handling complex, high-exposure General Liability and/or Excess Liability claims • Active Resident State Licensing or Active Non-Resident State Licensing required • Active New York Adjuster license required • Demonstrated experience managing litigated casualty claims from inception through resolution • Strong knowledge of liability coverage, tort law, and claims handling best practices • Excellent negotiation, analytical, and decision-making skills • Strong written and verbal communication abilities • Ability to independently manage a complex caseload in a fast-paced environment • Proficiency with claims management systems and Microsoft Office Suite

🏖️ Benefits

• Excellent Salary • Multiple Bonus Opportunities • Medical Benefits including Dental, Vision and Life • Paid Holidays/Vacation • 401(k) Plan • Flex-Time • Educational Assistance Program • Performance-based incentives • Paid time off • Comprehensive medical, dental, vision, and life insurance • 401(k) plan with company matching