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.