Professional 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

• Investigate, evaluate, negotiate, and resolve complex Professional Liability claims.

• Review policies and endorsements and make appropriate coverage determinations.

• Manage complex and litigated claims through resolution.

• Work closely with clients, defense counsel, investigators, and other outside service providers.

• Evaluate liability, damages, exposure, and potential economic losses.

• Establish and continually evaluate reserves and settlement strategies.

• Prepare detailed loss reports analyzing liability and damages.

• Identify potential subrogation and risk-transfer opportunities.

• Maintain accurate claim diaries, correspondence, reports, and file documentation.

• Communicate recommendations regarding exposure, reserves, and settlements to clients.

• Independently manage complex caseloads while providing excellent client service.

Qualifications

• 5+ years of Professional Liability claims handling experience required.

• Active California RESIDENT Adjuster’s License required – non-resident license will not qualify.

• Must reside in San Diego or the immediate surrounding area.

• Experience handling complex and litigated Professional Liability claims.

• Strong knowledge of coverage analysis, claims investigation, litigation, negotiation, and case valuation.

• Excellent analytical, written, verbal, organizational, and client-service skills.

• High school diploma/GED required; bachelor’s degree preferred.

• AIC/CPCU or related industry designation preferred.