Liability Claims Examiner

About the Organization Vanguard, founded in 1997 solely as an independent adjusting firm, today serves not only as an adjusting firm but third-party administrator and catastrophe claim unit. With growing influence in London, we increasingly became one of London's largest independent adjusting and TPA firm. We have handled first party property and casualty claims for both the domestic and London market for over 20 years and believe it is our superior investigative and reporting techniques delivered by our highly seasoned staff that sets us apart.

It is our moto that EVERY CLAIM COUNTS.
If you are looking to become a part of our growing family company, driven by the latest technology and staffed with top talent, then we encourage you to apply with Vanguard today.

We currently have an opening for a Liability Claims Examiner. The role of Vanguard's Liability Examiner is to investigate and evaluate insurance claims, determining liability, handling construction defect and managing the claims process, often including litigation and settlement negotiations, to ensure timely and cost-effective resolutions for our clients.

• Handling liability and construction defect claims from inception until completion; reviewing liability claims, litigated by counsel or insurance adjuster managed; maintaining a point person role reporting to the proper client and ensuring all time lines are properly followed; resolving claims by denial, settlement or referral to another insurance company.
• Performs complete liability, coverage and bodily injury investigations. Reviews and evaluates claim based on evidence obtained to determine responsible parties, liability exposure, questions of fraud or other pertinent issues.
• Claims in Construction Defects are often involved and require contract analysis, managing litigation/arbitration with numerous defendants and coverage issues that may involve multiple policy years, varied insurers and types of insurance coverage specific to the construction trades industry.
• Reads, analyzes and interprets insurance policies and endorsements, applicable state and local statutes, case law and applies to claim situations
• Orders bills and reports from medical providers of injured parties, obtain police/ambulance/fire reports, medical histories and ISO reports to determine facts and prior accident information
• Prepares and maintains file documentation, communicates with insureds, claimants or attorneys regarding progress of claim. Negotiate settlements of claims with insureds, claimants and others up to authority limits
• Draft reports to clients with recommendations for claim disposition
• Attend Mediations/Arbitrations/Trials as necessary
• Manage legal expenses, reserves and financial transactions
• SOC 2 Compliance Responsibilities
  • Handle all claimant, policyholder, client, and company information in accordance with SOC 2 security, confidentiality, and data integrity standards.
  • Ensure sensitive data is stored, transmitted, and processed securely, following company policies and procedures.
  • Maintain accuracy and completeness of information in all systems, reports, and documentation.
  • Promptly report any actual or suspected security incidents, policy violations, or data handling concerns to management.
  • Participate in training and awareness initiatives to stay current on SOC 2 requirements and best practices.
  • Support audit readiness by providing documentation, evidence, or explanations of compliance activities when requested.
• Performs additional responsibilities as needed to support business operations and compliance objectives.

• A High School Diploma or Equivalency is required.
• At least 3-5 years’ experience in liability claims…