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Abuse​/Molestation Claims Adjuster- Remote

Remote / Online - Candidates ideally in
San Jose, Santa Clara County, California, 95199, USA
Listing for: Selective Insurance Company of America
Remote/Work from Home position
Listed on 2026-08-16
Job specializations:
  • Insurance
    Insurance Claims, Risk Manager/Analyst, Insurance Analyst, Underwriter
Salary/Wage Range or Industry Benchmark: 124000 - 160000 USD Yearly USD 124000.00 160000.00 YEAR
Job Description & How to Apply Below

About Us

At Selective, we don't just insure uniquely, we employ uniqueness. Selective is a midsized U.S. domestic property and casualty insurance company with a history of strong, consistent financial performance for nearly 100 years. Selective's unique position as both a leading insurance group and an employer of choice is recognized in a wide variety of awards and honors, including listing in Forbes Best Midsize Employers in 2025 and certification as a Great Place to Work® in 2025 for the sixth consecutive year.

Employees are empowered and encouraged to Be Uniquely You by being their true, unique selves and contributing their diverse talents, experiences, and perspectives to our shared success. Together, we are a high‑performing team working to serve our customers responsibly by helping to mitigate loss, keep them safe, and restore their lives and businesses after an insured loss occurs.

Overview

Selective is looking for a skilled claims professional to handle complex Abuse/Molestation Liability Specialty Claims. In this role, you will manage claims through the full lifecycle, including coverage review, investigation, evaluation, negotiation, and resolution.

You will work closely with insureds, defense counsel, and internal stakeholders to guide litigation strategy, manage budgets, and help achieve strong claim outcomes. This role requires excellent communication skills, sound judgment, strategic thinking, and the ability to manage loss exposures effectively while delivering an exceptional standard of performance.

This position also offers opportunities to collaborate across teams, share expertise, support training efforts, and provide thought leadership.

Travel up to 10% may be required for mediations, arbitrations, settlement conferences, trials, training, and related proceedings. Compliance with all legal, regulatory, and licensing requirements is required.

Responsibilities
  • Effectively evaluate and resolve coverage issues for Abuse/Molestation claims, including drafting coverage position letters.
  • Investigate the claims through telephone, written correspondence, and/or personal contact with claimants, attorneys, insureds, witnesses and others having pertinent information.
  • Effectively and efficiently present claims and claim trends to Claims and Underwriting
  • Leadership, including discussion of coverage, liability assessment, and ultimate exposure to the insured and company.
  • Timely analysis of information in order to evaluate assigned claims to determine ultimate exposure to the insured and company.
  • Effectively evaluate, negotiate, and resolve claims within delegated authority, utilizing the appropriate denials or releases.
  • Provide required reports to claims, underwriting, reinsurance, and actuarial on significant exposure cases in a timely manner.
  • Report on all cases going to trial on a timely basis and attend portions of trials when warranted or where requested by management.
Qualifications Knowledge and Requirements
  • Experience in coverage analysis and claim evaluations.
  • Superior communication, negotiation, and claim disposition skills, along with proven problem‑solving skills.
  • Excellent presentation skills.
  • Moderate proficiency with standard business‑related software (including Microsoft Outlook, Work Excel, and PowerPoint).
  • Sufficient keyboarding proficiency to enter data accurately and efficiently.
  • Must have valid state‑issued driver’s license in good standing and be able to drive an automobile.
Education and Experience
  • College degree required.
  • JD preferred.
  • 8+ years Casualty claims handling experience, with significant experience handling Abuse/Molestation Liability claims with a primary P&C carrier.
Total Rewards

Selective Insurance offers a total rewards package that includes a competitive base salary, incentive plan eligibility at all levels, and a wide array of benefits designed to help you and your family stay healthy, achieve your financial goals, and balance the demands of your work and personal life. These benefits include comprehensive health care plans, retirement savings plan with company match, discounted Employee Stock Purchase Program, tuition assistance and reimbursement programs, and 20 days…

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