Qureos Mentor

Lio Insurance

<div><div><b>Summary/Objective:
</b></div><div>The Claims Examiner &ndash; Casualty is accountable for managing a portfolio of moderate complexity general liability claims across admitted and E&amp;S products, including exposure to construction-related and construction defect property damage claims, driving each claim from initial notice through resolution. This role requires applying sound coverage analysis, leading investigations, evaluating liability and damages, and crafting clear, defensible coverage positions. The Claims Examiner will proactively negotiate with claimants and attorneys, ensure timely and accurate claim payments, and deliver a high-quality claims experience. The ideal candidate is a strong communicator and critical thinker who can effectively engage with insureds, brokers, counsel, and internal partners while balancing customer experience, financial outcomes, and regulatory compliance.</div>
<div></div><div><b>Essential Duties &amp; Functions:
</b></div><ul><li>Manage a portfolio of moderate complexity casualty claims, including general liability and select construction-related / construction defect property damage exposures</li>
<li>Handle claims across admitted and E&amp;S platforms, applying sound judgment and seeking guidance on complex or high-exposure matters</li>
<li>Perform coverage analysis and policy interpretation, including drafting coverage positions for moderately complex claims and supporting more complex or layered matters</li>
<li>Conduct thorough investigations, evaluate liability and damages, and establish and adjust reserves in accordance with claim developments</li>
<li>Coordinate and actively manage defense counsel, experts, and vendors to ensure effective case strategy and cost control</li>
<li>Support the development and execution of litigation and settlement strategies aligned with claim facts, coverage, and business objectives</li>
<li>Participate in mediations, settlement negotiations, and discussions with claimants and counsel as appropriate</li>
<li>Maintain accurate, timely, and well-documented claim files, including clear reporting and adherence to internal guidelines and regulatory requirements</li>
<li>Proactively identify and escalate complex, high-severity, or coverage-sensitive issues to senior team members</li>
</ul><div><b>LIO LIFE &ndash; What we value:</b></div>
<ul><li><b>The Customer Lens</b> &ndash; Prioritizing our relationships, service and needs of our customers.</li>
<li><b>Innovative Thinking</b> &ndash; Fostering an environment that empowers and sustains bold thinking and actions.</li>
<li><b>Balance </b>&ndash; Creating an inclusive, diverse, and holistic balance to meet our personal and professional needs.</li>
<li><b>Simplicity </b>&ndash; Striving for simplicity in our service, products, and processes.</li>
<li><b>Accountability &ndash; </b>Owning our results and learning from them.</li>
</ul><div><b>Qualifications:</b></div>
<div>To perform this role successfully, an individual must be able to execute each essential duty effectively. The requirements below represent the key competencies needed. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>
<ul><li>Strong written and verbal communication skills, including the ability to clearly convey complex information and actively listen to understand key issues</li>
<li>Sound judgment and decision-making abilities, with the capacity to evaluate risk, think critically, and escalate appropriately</li>
<li>High degree of integrity and professionalism, with a strong commitment to confidentiality and ethical conduct</li>
<li>Customer-focused mindset, delivering responsive, solutions-oriented service to both internal and external stakeholders</li>
<li>Ability to build effective working relationships and collaborate across teams and levels, while also operating independently</li>
<li>Strong organizational and time management skills, with the ability to prioritize, manage competing demands, and meet deadlines</li>
<li>Analytical mindset, with the ability to assess information, identify key drivers, and support well-reasoned outcomes</li>
<li>Ability to influence, negotiate, and navigate challenging conversations with professionalism and confidence</li>
<li>Adaptability and accountability in a dynamic, fast-paced, and primarily virtual work environment</li>
<li>Demonstrated respect for diverse perspectives and the ability to work effectively across varied backgrounds and experiences</li>
<li>Ownership mindset, with the ability to plan, organize, and execute work from initiation through completion</li>
<li>Comfort working in a lean, entrepreneurial environment, with a willingness to take initiative and adapt to evolving priorities</li>
</ul><div><b>Required Education and Experience:</b></div>
<ul><li>Bachelor&rsquo;s degree or equivalent combination of education and relevant experience</li>
<li>3&ndash;6+ years of casualty claims handling experience</li>
<li>Experience handling general liability (GL) claims required; exposure to construction-related or construction defect claims preferred</li>
<li>Active state adjuster license(s) or ability to obtain required licenses within a defined timeframe</li>
</ul><div><b>Preferred Education and Experience:</b></div>
<ul><li>CPCU and/or AI</li>
</ul><div><b>Additional Eligibility Requirements (Certificates, Licenses, Required/Preferred):</b></div>
<ul><li>CPCU or AIS</li>
</ul><div><b>Benefits:</b></div>
<div>As a core value, LIO Insurance understands the importance of balance to meet both personal and professional needs. Our benefits include:</div>
<ul><li>Flexible (unlimited) Time Off and 13 paid holidays</li>
<li>401k</li>
<li>Maternity Leave</li>
<li>Competitive Medical to support holistic health
<ul><li>Medical, dental/ortho, vision, life and disability insurance</li>
<li>HSA/FSA/DCAP savings plans</li>
</ul></li></ul><div><b>Work Environment:</b></div>
<div>This job operates in a professional office environment. This role routinely uses standard office equipment.</div>
<div></div><div><b>Position Type/Expected Hours of Work:</b></div>
<div>This is a full-time position. Expected days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. This position may require long hours and weekend work.</div>
<div></div><div><b>Travel:</b></div>
<div>Occasional travel may be necessary for this position &ndash; to attend mediations, trials, or large property loss exposures.</div>
<div></div><div><b>EEO Statement:</b></div>
<div><b>LIO Insurance</b><b> prov</b>ides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, creed, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div>
<div></div><div>This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.</div>
<div></div><div><b>Other Duties:</b></div>
<div>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.</div></div><div></div>

Claims Examiner (Casualty)

<div><div><b>Summary/Objective:
</b></div><div>The AVP, Complex Claims Specialist owns the handling and resolution of the organization&rsquo;s most complex, high-exposure casualty claims across admitted and E&amp;S portfolios. This role requires advanced technical expertise and judgment to navigate complex coverage issues, lead investigations, evaluate significant financial exposure, and develop defensible claim strategies. Operating with a high degree of independence, the AVP sets litigation and resolution strategies, directs defense counsel and experts, and leads high-stakes negotiations with claimants and attorneys. This individual serves as a key decision-maker and escalation point for complex or sensitive matters.</div>
<div></div><div><b>Essential Duties &amp; Functions:
</b></div><ul><li>Manage a portfolio of complex, high-exposure casualty claims, including General Liability, Products, Life Sciences, Construction, and supported Excess placements</li>
<li>Analyze coverage and communicate clear, well-supported coverage positions to insureds, brokers, and other stakeholders based on policy language, facts, and allegations</li>
<li>Lead comprehensive claim investigations, engaging relevant parties (e.g., insureds, claimants, counsel, experts, and authorities) to evaluate liability, damages, and contribution potential</li>
<li>Establish, monitor, and adjust indemnity and expense reserves in alignment with claim developments and exposure</li>
<li>Develop and execute claim-specific strategies to drive timely, effective, and well-reasoned outcomes</li>
<li>Direct defense counsel and experts, including development of litigation strategy, budgets, and adherence to panel guidelines to ensure effective case management and cost control</li>
<li>Negotiate complex, high-value claims with claimants, insureds, and legal representatives to achieve optimal resolution</li>
<li>Prepare and deliver coverage position letters, including on litigated matters, with minimal to no external support</li>
<li>Serve as a subject matter expert and key resource to internal stakeholders, including presenting loss analyses and strategy in discussions with underwriting and insureds</li>
<li>Represent the company in mediations, arbitrations, depositions, trials, and other legal proceedings, as appropriate</li>
<li>Ensure accurate, timely, and compliant claim handling, including thorough documentation and adherence to internal standards and regulatory requirements</li>
<li>Identify and escalate emerging risks, coverage issues, and high-severity matters, providing recommendations and influencing outcomes</li>
<li>Perform other duties as assigned</li>
</ul><div><b>LIO LIFE &ndash; What we value:</b></div>
<ul><li><b>The Customer Lens</b> &ndash; Prioritizing our relationships, service and needs of our customers.</li>
<li><b>Innovative Thinking</b> &ndash; Fostering an environment that empowers and sustains bold thinking and actions.</li>
<li><b>Balance </b>&ndash; Creating an inclusive, diverse, and holistic balance to meet our personal and professional needs.</li>
<li><b>Simplicity </b>&ndash; Striving for simplicity in our service, products, and processes.</li>
<li><b>Accountability &ndash; </b>Owning our results and learning from them.</li>
</ul><div><b>Qualifications:</b></div>
<div>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list below is representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with dishabilles to perform the essential functions.</div>
<ul><li>Exceptional written and verbal communication skills, with the ability to clearly articulate complex positions and influence diverse stakeholders</li>
<li>Advanced judgment and decision-making capabilities, including the ability to evaluate risk, balance competing priorities, and drive sound outcomes</li>
<li>High degree of integrity and professionalism, with a strong commitment to confidentiality and ethical conduct</li>
<li>Strategic and analytical mindset, with the ability to assess complex information, identify key issues, and develop well-reasoned solutions</li>
<li>Ability to lead through influence, including navigating challenging conversations, negotiating effectively, and driving alignment across stakeholders</li>
<li>Proven ability to build strong relationships and collaborate effectively across all levels of the organization and with external partners</li>
<li>Strong organizational and execution skills, with the ability to manage multiple complex matters, prioritize effectively, and deliver results in a timely manner</li>
<li>Ability to operate with autonomy in a fast-paced, dynamic environment, demonstrating accountability and ownership</li>
<li>Demonstrated respect for diverse perspectives, with the ability to foster an inclusive and collaborative working environment</li>
<li>Customer-focused mindset, balancing service, financial outcomes, and risk considerations</li>
<li>Strong planning and execution capabilities, with the ability to develop and drive strategies from concept through resolution</li>
<li>Comfort operating in a lean, entrepreneurial environment, with a proactive approach to problem-solving and continuous improvement</li>
</ul><div><b>Required Education and Experience:</b></div>
<ul><li>Bachelor&rsquo;s Degree</li>
<li>10 - 15 + years of casualty claims experience, including claims handling in general liability, life sciences, products liability, construction liability</li>
<li>State adjuster licensing</li>
</ul><div><b>Preferred Education and Experience:</b></div>
<ul><li>CPCU, AIS and/or JD.</li>
</ul><div><b>Additional Eligibility Requirements (Certificates, Licenses, Required/Preferred):</b></div>
<ul><li>CPCU or AIS</li>
</ul><div><b>Benefits:</b></div>
<div>As a core value, LIO Insurance understands the importance of balance to meet both personal and professional needs. Our benefits include:</div>
<ul><li>Flexible (unlimited) Time Off and 13 paid holidays</li>
<li>401k</li>
<li>Maternity Leave</li>
<li>Competitive Medical to support holistic health
<ul><li>Medical, dental/ortho, vision, life and disability insurance</li>
<li>HSA/FSA/DCAP savings plans</li>
</ul></li></ul><div><b>Work Environment:</b></div>
<div>This job operates in a professional office environment. This role routinely uses standard office equipment.</div>
<div></div><div><b>Position Type/Expected Hours of Work:</b></div>
<div>This is a full-time position. Expected days and hours of work are Monday through Friday, 8:30 a.m. to 5 p.m. This position may require long hours and weekend work.</div>
<div></div><div><b>Travel:</b></div>
<div>Occasional travel may be necessary for this position &ndash; to attend mediations, trials, or large property loss exposures.</div>
<div></div><div><b>EEO Statement:</b></div>
<div>LIO Insurance provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, creed, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.</div>
<div></div><div>This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.</div>
<div></div><div><b>Other Duties:</b></div>
<div>Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.</div></div><div></div>

AVP, Complex Claims Specialist

Join Lio Insurance and explore 4   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Lio Insurance

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Claims Examiner (Casualty)

Claims Examiner (Casualty)

AVP, Complex Claims Specialist

AVP, Complex Claims Specialist