Job Description
Job DescriptionProfessional Liability Claims Examiner III
Location: San Diego, CA – Hybrid/Remote
Salary: $80,000–$90,000
Employment: Direct Hire
About the Opportunity
We are seeking an experienced Professional Liability Claims Examiner III to manage complex California professional liability claims, including litigated matters.
This is specifically a Professional Liability/E&O claims position, rather than a traditional General Liability role. The successful candidate will have experience evaluating claims involving professional errors, omissions, standard-of-care issues, economic losses, contracts, and professional services.
The position may be primarily remote; however, candidates must reside in or very near San Diego and be available to attend onsite client meetings and file reviews.
Key Responsibilities
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Investigate, evaluate, negotiate, and resolve complex Professional Liability claims.
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Review policies and endorsements and make appropriate coverage determinations.
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Manage complex and litigated claims through resolution.
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Work closely with clients, defense counsel, investigators, and other outside service providers.
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Evaluate liability, damages, exposure, and potential economic losses.
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Establish and continually evaluate reserves and settlement strategies.
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Prepare detailed loss reports analyzing liability and damages.
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Identify potential subrogation and risk-transfer opportunities.
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Maintain accurate claim diaries, correspondence, reports, and file documentation.
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Communicate recommendations regarding exposure, reserves, and settlements to clients.
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Independently manage complex caseloads while providing excellent client service.
Qualifications
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5+ years of Professional Liability claims handling experience required.
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Active California RESIDENT Adjuster’s License required – non-resident license will not qualify.
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Must reside in San Diego or the immediate surrounding area.
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Experience handling complex and litigated Professional Liability claims.
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Strong knowledge of coverage analysis, claims investigation, litigation, negotiation, and case valuation.
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Excellent analytical, written, verbal, organizational, and client-service skills.
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High school diploma/GED required; bachelor’s degree preferred.
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AIC/CPCU or related industry designation preferred.