Complex Liability Claims Specialist - Educational Institution Claims

Complex Liability Claims Specialist - Educational Institution Claims

Job Category: Claims Requisition Number: COMPL006693

Posted: April 15, 2026

Full-Time Hybrid North Carolina, USA +3 more locations

Description

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected.

Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier.

Operating along the Eastern half of the United States, based in our Home Office in Central New York, with Regional Office locations including NYC, Dallas and Charlotte.

This is a hybrid preferred role to our offices in Charlotte, NC; New Hartford, NY; Buffalo, NY; or Woodbury, Long Island, NY. Depending on location, remote candidates may be considered.

What you will do

The Specialist will be responsible for the management and effective resolution of higher exposure and complex educational institution claims. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex educational institution claims is required.

Key responsibilities:

• Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex educational institution claims in multiple jurisdictions.
• Manage all claims in accordance with Utica National's established claim procedures.
• Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level.
• Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy.
• Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims.
• Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials.
• Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle.
• Achieve the service standard of "excellent" during all phases of claims handling.
• Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction.
• Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling.

What you need:

• Four year degree or equivalent experience required.
• Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated claims.
• Knowledge of additional insured considerations and complex coverage determinations.
• Proven experience negotiating claims and active participation in alternative dispute resolution practices.
• Multi-state licensing including CT, DE, GA, ME, NC, NH, RI, SC, TX, and/or VT preferred.

Licensing:

Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment.

Salary range: $103,300 - $140,000

The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

Benefits:

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

• Medical and Prescription Drug Benefit
• Dental Benefit
• Vision Benefit
• Life Insurance and Disability Benefits
• 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
• Health Savings Account (HSA)
• Flexible Spending Accounts
• Tuition Assistance, Training, and Professional Designations
• Company-Paid Family Leave
• Adoption/Surrogacy Assistance Benefit
• Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
• Student Loan Refinancing Services
• Care.com Membership with Back-up Care, Senior Solutions
• Business Travel Accident Insurance
• Matching Gifts program
• Paid Volunteer Day
• Employee Referral Award Program
• Wellness programs
• Personal insurance discount

Additional Information:

This position is a full time salaried, exempt (non-overtime eligible) position.

Utica National is an Equal Opportunity Employer.