Claims Adjuster

Title: Sr General Liability Claims Adjuster

Duration: 3-6 month contract to hire

Location: REMOTE – May work any time zone

Pay Rate: $45/hr

Start: ASAP

Must Haves:

• Appropriately licensed and/or certified in all states in which claims are being handled.
• Knowledge of accepted industry standards and practices.
• Computer experience with related claims and business software.
• Must have 7+ years General Liability claims experience
• Ability to successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation
• Soft Tissue BI claims to complex Bodily Injury claim experience – slip n falls
• Direct BI settlements with unrepresented claimants, as well as attorney represented
• Commercial Property damage experience
• Litigation experience
• Tender requests, Tenders out to others, Coverage experience
• Experience with attorney representative files

Pluses:

• Bachelor’s degree

Day to Day:

Investigates, evaluates, disposes and settles the most complex claims and highest exposures with minimal supervision. Includes the investigation, determination and evaluation of coverage, liability and damages, and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $10,000 liability and/or $25,000 workers compensation or greater.

• Analyzes coverage and settles moderately complex claims in one or more of specialty claims areas.
• Generally, incumbent does not work on workers compensation claims.
• Able to manage the full-life cycle of all assigned claims files. Analyzes coverage and determines defense obligations.
• Under minimal supervision, conducts thorough analysis and investigations necessary to determine claims exposure and recommend appropriate settlement strategies and action plans.
• Creates reservation of rights and coverage denial letters.
• Negotiates settlements with clients, client attorneys, and Public Adjusters.
• Interacts extensively with various parties involved in the claims process, and may recommend retaining the advice of outside experts as necessary.
• Prepares reserve and settlement authority requests for client and carrier approval.
• May act as a client advocate with carriers to ensure proper claims handling, including any necessary scoping, estimating, and addressing of coverage.
• Has a solid understanding of claims processing and the insurance brokerage business.
• Has a basic understanding of the terminology and case law associated with their specialized claims niche/industry.
• Handles claims consistent with clients' and corporate policies, procedures and best practices and also in accordance with any statutory, regulatory and ethical requirements.
• Incumbents at this level should be able to work at full case load capacity.