Senior Casualty Claims Adjuster

Job Summary

The Senior Casualty Claims Adjuster investigates, evaluates, and resolves complex, high-exposure, and litigated automobile, general liability, and educator’s legal liability claims. The Senior Casualty Claims Adjuster provides advanced evaluation and litigation oversight of assigned claims and serves as a technical resource to less experienced Casualty Claims Adjusters.

Essential Job Functions

• Independently facilitate the accurate and timely investigation, evaluation, resolution and disposition of complex, high-severity auto liability, general liability, and educator’s legal liability claims in accordance with applicable laws and internal policies and procedures
• Lead litigation strategy in partnership with defense counsel
• Determine and recommend appropriate claim resolutions and settlement strategies
• Mentor Claims Adjusters and assist with training and development
• Recognize claim trends and provide recommendations to claims leadership
• Review legal documents and collaborate with defense counsel to determine how the documents impact the strategy and/or evaluation of a claim
• Attend mediations, trials, and any other legal proceedings as needed
• Maintain accurate reserves and claim file documentation
• Ensure compliance with all Litigation Guidelines and Best Practices
• Perform all actions relating to customers and companies in a manner that will avoid issues involving potential errors and omissions
• Participate in seminars and other training to maintain required licenses and for knowledge and skill development

Additional Responsibilities

• This job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions.
• Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description.

Qualifications

• 5+ years of casualty or legal liability claims experience. 3 – 5 years previous litigated claim experience preferred
• High school diploma or equivalent; bachelor's preferred
• Texas Adjuster’s License required
• Knowledge, Skills, And Abilities:
• Understand legal causes of action related to: Employment Issues; Special Education; Texas Constitution, Statutes and Regulations; United States Constitution and Statutes; State Law
• Ability to manage high complexity claim caseloads
• Ability to provide mentorship and serve as a technical resource
• Advanced litigation management capabilities
• Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality
• Ability to promote, and maintain a team environment, willing to find accommodating solutions for our customers, companies and the Agency
• Excellent interpersonal skills, with the ability to interact effectively with both colleagues and managers, across all levels
• Advanced negotiation skills
• Advanced written and verbal communication skills
• Self-motivated, with the initiative to prioritize and be self-directed in a fast-paced, changing priority environment
• Strong professionalism, confidentiality, and integrity
• Advanced analytical skills, with sound judgment and decision-making capability
• Ability to travel occasionally for litigation-related activities
• Ability to function effectively in a virtual and/or office environment; highly collaborative using available technology to connect with team members
• Advanced knowledge of tort law, litigation, and governmental immunity