Sr Casualty Adj- (Inside)

About the role

The organization operates in the insurance and claims management industry, focusing on resolving complex casualty claims involving significant exposures, including fatalities. It addresses the challenge of delivering fair and timely claim resolutions while maintaining the integrity and compliance of insurance products. The program serves a broad community by supporting individuals and families during difficult times, emphasizing thorough investigation and resolution processes. The SENIOR CASUALTY ADJUSTER - INSIDE is responsible for managing complex casualty claims from investigation through resolution. This role ensures accurate claim assessments, sets appropriate reserves, negotiates settlements, and recommends litigation when necessary. The position contributes to the organization by upholding fair outcomes and compliance, supporting the restoration of clients and communities affected by claims.

Responsibilities

• Examine claims forms, policies, endorsements, and client instructions to determine coverage.
• Investigate claims through interviews, official reports, and evidence comparison.
• Set loss reserves for claims.
• Prepare required reports for clients and regulatory agencies.
• Negotiate and settle claims based on coverage, liability, and client authority.
• Control claim costs and pursue subrogation when appropriate.
• Recommend litigation when necessary.
• Present evidence and documentation in legal proceedings.
• Maintain expected caseload and quality standards.
• Approve reports and settlements with unlimited authority.
• Comply with federal and state regulations and service standards.
• Maintain professional knowledge via continuing education.
• Mentor junior adjusters as needed.
• Uphold the organization's code of business conduct.
• Participate in special projects or perform additional duties as requested.

Requirements

• College degree or equivalent education and experience.
• Previous claims adjuster experience or completion of specified adjuster training.
• At least 4 years of substantive claims adjusting experience preferred.
• Strong verbal and written communication skills.
• Attention to detail and strong analytical and mathematical abilities.
• Ability to multitask and exercise diplomacy in difficult situations.
• Excellent problem-solving and interpersonal skills.
• State and local licensing as required.
• Completion of continuing education requirements.

Benefits

• Medical, dental, and vision insurance plans.
• Prescription drug coverage.
• Health savings and flexible spending accounts.
• Paid holidays, vacation, and sick leave.
• 401(k) retirement plan.
• Tuition assistance.
• Paid parental leave.
• Supplemental health benefits.
• Enhanced mental health support.
• Virtual physical therapy.
• Caregiving services.
• Life assistance program.