Contract Senior Liability Adjuster

Primary Responsibilities

• Evaluates coverage based on the claim report, the insurance policy, endorsements and applicable statutes and case law. Coverage interpretation will be for personal and commercial lines policies.
• Possesses in-depth knowledge of multi-jurisdictional claims handling issues.
• Conducts interviews of all involved parties as requested by client. Interviews will be done by telephone or in-person. Statements may be recorded or written.
• Completes investigations by obtaining and reviewing police and other official reports, hospital records, appraisals and repair estimates to evaluate injuries and property damage.
• Obtains medical authorizations to secure records and bills to evaluate injury claims.
• Analyzes injury information to set case reserves for specific clients.
• Negotiates and settles claims of varying complexity with minimal supervision.
• Prepares settlement letters, coverage and liability denial letters, Reservation of Rights letters and other letters as needed.
• Shows appropriate attempts in establishing initial contact. Maintains current follow ups in all files.
• Attends mediations, as needed.
• Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication.
• Records time and expense charges to clients.
• Manages expected caseload.
• Secures/maintains appropriate state adjuster licenses, continuing education requirements and certifications.

Requirements

• Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience.
• Minimum of 5 years of Commercial and Personal Liability claims handling experience.
• Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims.
• Must have a valid driver’s license

Skills and Competencies

• Ability to work in a high volume, fast paced environment managing multiple tasks with minimal supervision.
• Ability to provide excellent service to policyholders and clients.
• Ability to efficiently operate a computer and related claims and business software.
• Effective analytical and problem-solving skills necessary to make decisions and resolve conflict with minimal supervision.
• Excellent verbal and written communication skills.
• Excellent attention to detail.
• Strong analytical ability.
• Ability to work independently in a virtual environment when required.
• Excellent organizational and time management skills.
• Possesses a high level of investigation, analysis, evaluation and negotiation skills.

Physical Demand Requirements

• The physical requirements associated with the position are limited. Repetitive tasks are associated with typing, filing, data entry, telephonic communication, and general clerical duties.
• While performing the duties of this position, auto travel is required.