Senior Large Loss and Litigation Adjuster

Duties And Responsibilities

• Evaluate and manage bodily injury claims from initial reporting to resolution including litigation, ensuring compliance with company policies and legal requirements.
• Conduct thorough investigations to assess the nature and extent of injuries, gathering relevant documentation and evidence.
• Absorb and manage extra-contractual claims, ensuring proper documentation and adherence to legal and regulatory standards.
• Collaborate with medical professionals, legal teams, and clients to develop a comprehensive understanding of each case.
• Keep policyholders informed throughout the claims process, providing regular updates and addressing any questions or concerns they may have.
• Negotiate settlements with claimants and their representatives in accordance with company policies and regulatory requirements, striving for fair and equitable outcomes.
• Prepare detailed reports and documentation to support claim evaluations and settlement negotiations.
• Monitor case developments and provide updates to management and stakeholders as necessary.
• Collaborate with internal parties, legal counsel, and management, to resolve complex claims and mitigate risk.
• Maintain accurate and detailed claim files, documentation, and activity logs in accordance with company standards and industry best practices.

Requirements

• A bachelor's degree or comparable insurance experience.
• A minimum of 10 years of experience in bodily injury claims adjusting, including extra-contractual claims.
• Extensive litigation and legal knowledge.
• Strong knowledge of insurance principles, policies, and procedures.
• Enhanced knowledge of medical terminology, anatomy, and injury assessment.
• Excellent analytical and decision-making skills with the ability to assess complex issues and negotiate fair settlements.
• Proven negotiation and communication skills, with a track record of successful settlements.
• Ability to analyze complex information and make sound decisions.
• Proficiency in claims management software and Microsoft Office Suite.