Jobs · Finance

Lead General Adjuster

UFG Insurance · California, United States · 2 wk ago
RemoteRemoteFinance$103k–$136k/yrFull-time

Essential Duties & Responsibilities

  • Review new claims assignment to determine the nature and severity of the claim and intended action required.
  • Manage and execute all claim functions such as maintaining proper claims documentation within claims management system, reserving, claim payments, expense factors, and file notes.
  • Make prompt, meaningful contact with insureds or claimants.
  • Maintain proper communication channels with internal and external customers as defined by claims best practices.
  • Conduct a timely and thorough investigation to identify risks/exposures which may include conducting interviews, procuring recorded statements, relevant documents and identify others possessing facts or involvement with the claim – to determine extent and severity of potential loss.
  • Evaluate, manage and/or recommend claim file reserves.
  • Review and interpret policy to determine coverage.
  • Determine and communicate liability decision with all relevant parties.
  • Inform underwriting if increased hazards or unusual circumstances concerning a risk/policy exposure.
  • Disposition of claims through effectively negotiating and settling and/or denial.
  • Actively identify subrogation potential and posture claim for successful subrogation.
  • Recognize and promptly address litigation potential, work cohesively with defense counsel, and attend mediation and settlement conferences as needed.
  • Participate in continuing educational programs to develop and maintain knowledge of products, procedures, and industry trends.
  • Be willing to act as a CAT coordinator in assigned territory or elsewhere as directed by management.
  • Be willing to help with supervisor workload or assist when supervisor is absent.
  • Aid in field training for new adjusters.
  • Give advice and assistance to new and current adjusters in areas where they may need more advanced help or training.
  • This may involve work outside of assigned territory.
  • Prepare claim files for arbitration by completing appropriate forms and specifying contentions.
  • Submit appropriate files to conciliation/small claims court.
  • Maintain control of files that go into suit and direct litigation management of those files if directed by regional claims manager or supervisor.
  • Attend mediation proceedings at the request of file supervisor.
  • This may involve attending mediations and settlement conferences outside of normally assigned territory.
  • Responsible for the oversight of UFG’s Catastrophe Plan and an annual review and update as needed.
  • Daily CAT duties include monitoring catography reports for CAT activity.
  • CAT coordinator for designated catastrophe in compliance with UFG’s Catastrophe Plan.
  • Education Job Specifications

    • High school diploma
    • 2 or 4 year degree preferred
    • AIC, SCLA or Legal Principles, CCLA and PCLA of the AEI series to be completed within 3 years if not already obtained.
    • CPCU preferred.
    • Meet the appropriate state licensing laws required to handle “multi-line” claims.

    Experience

    • 10+ years of multi-line claims experience

    Company Vehicle and Safety Equipment

    • Assigned to persons in this role.

    Pay Transparency Statement

    UFG Insurance is committed to fair and equitable compensation practices. The base salary range for this position is $103,221 - $136,105 annually, which represents the typical range for new hires in this role. Individual pay within this range will be determined based on a variety of factors, including relevant experience, education, certifications, skills, internal equity, geography and market data. In addition to base salary, UFG Insurance offers a comprehensive total rewards package that includes:

    • Annual incentive compensation
    • Medical, dental, vision & life insurance
    • Accident, critical Illness & short-term disability insurance
    • Retail plans with employer contributions
    • Generous time-off program
    • Programs designed to support the employee well-being and financial security.

    This pay range disclosure is provided in accordance with applicable state and local pay transparency laws.

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