Claims Adjuster - General Liability
Job Description
Essential Functions and Responsibilities
Claim Investigation & File Ownership
Independently investigate and manage a full caseload of CGL claims, including but not limited to premises liability, slip and fall, product liability, construction defect and construction-related losses, and contractual liability exposures.
Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation.
Coverage Analysis & Policy Interpretation
Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing/completed operations, additional insured provisions), and limits to determine coverage applicability.
Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations.
Liability & Damages Evaluation
Conduct comprehensive liability investigations, including:
Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions
Identification and application of contractual risk transfer provisions
Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance
Evaluate injury severity, medical treatment, and long-term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable.
Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure.
Litigation Management
Manage litigated files, including the retention and direction of defense counsel.
Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions.
Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies.
Settlement & Negotiation
Negotiate settlements within delegated authority while balancing cost containment and risk exposure.
Evaluate settlement value based on liability, damages, venue, and litigation risks, and escalate appropriately when exceeding authority.
Risk Transfer & Subrogation
Identify, evaluate, and pursue risk transfer opportunities, including:
Additional insured tenders
Contractual indemnity provisions
Subrogation potential
Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability.
Client & Stakeholder Communication
Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders.
Provide detailed status updates, large loss reports, and claim summaries tailored to client-specific reporting requirements.
Documentation, Compliance & Quality
Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness.
Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards.
Participate in internal and external audits, file reviews, and continuous improvement initiatives.
Additional Functions and Responsibilities
Support organizational quality initiatives, audit programs, and operational excellence efforts.
Contribute to process improvement, knowledge sharing, and team development activities as needed.
Qualifications:
Commercial General Liability (CGL) claims handling experience
TX and FL licenses with reciprocals required
NY and AZ licenses preferred
AIC and/or CPCU designations preferred
Needs true commercial GL claims handling experience, preferably two or more years, who can make coverage decisions and have litigation experience.
Benefits:
Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. Premiums are subsidized by Synectics.
Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.
Vision Insurance: Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.
401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first of the month following at least 1 calendar year after employment begins.
Synectics is an equal opportunity employer.
Synectics is a leading staffing and workforce solutions company dedicated to connecting exceptional talent with top organizations. We specialize in IT, engineering, finance, healthcare, and professional services recruitment, offering both contract and permanent staffing solutions. With a people-first approach, we focus on understanding the unique needs of our clients and candidates to create long-term, successful matches. Our mission is to empower businesses with the right talent while helping professionals achieve rewarding career opportunities
