AI use among claims adjusters, examiners, and investigators is little observed so far. Measured exposure for claims adjusters, examiners, and investigators: 8% (little observed).

Share of this job’s tasks that AI is already used for at work, from real usage. It is not a forecast of job loss, and a low number means no use seen yet. Source: Anthropic Economic Index.

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About the job

Senior Complex Construction Claims Specialist — Complex CGL & Construction Liability (Litigated, $500K+) Substantial hands-on experience handling complex, litigated Commercial General Liability and/or Construction Liability claims at high exposure levels (preferably $500,000+). Deep working knowledge of CGL and Construction Liability coverages and typical construction-related policy issues (additional insured wording, contractual indemnity, other insurance, primary/excess interaction, SIRs/deductibles). Proven litigation management experience: selecting/managing defense counsel, directing discovery strategy, preparing for mediation/trial, evaluating exposure and settlement leverage. Strong technical judgment and the ability to articulate and defend coverage and liability positions to legal, underwriting, and management partners. Track record of using and directing experts (medical, causation, engineers, reconstruction) on complex causation and damages issues. Excellent negotiation, communication and stakeholder management skills. Ability to manage multiple high-priority matters and meet deadlines under pressure. Bachelor's degree (preferred) and relevant claims/insurance industry certifications or licenses as applicable. Ability to obtain and maintain needed All-lines Adjuster license. Claims/Industry certifications a plus! Work exclusively on technically complex, high-exposure construction-related casualty claims that require advanced legal and claims judgment. Manage a caseload of complex, litigated construction-related losses ($500K+) from assignment through resolution: coverage analysis, liability assessment, investigation planning, reserving, negotiation, settlement or denial where appropriate. Lead coverage interpretation and application for issues commonly encountered in construction claims: additional insureds, tenders, indemnity agreements, other insurance, SIR/deductible mechanics, primary vs. excess placement, and limits erosion. Direct litigation strategy: analyze pleadings, manage discovery and depositions, evaluate venue and trial risk, prepare for mediations and settlement conferences, and recommend and implement resolution strategies. Build and lead the working team for each matter: coordinate Home-Office Legal, defense counsel, SIU when appropriate, medical and causation experts, accident reconstructionist, engineers, and other technical consultants. Select, supervise and evaluate outside counsel, including establishing budgets, staffing plans, billing guidelines expectations, and performance measures. Set and adjust reserves based on defensible analysis and develop settlement strategies that protect the company's interests while advancing timely resolution. Maintain accurate, complete file documentation and ensure secure handling of financial transactions and claim information. Collaborate proactively with Underwriting, Risk Control, Reinsurance/Excess, Product and Subrogation teams; identify and communicate trends and technical insights. Mentor and coach less-experienced claims professionals and contribute to team training, process improvements, and special projects.