Claims Adjuster Sr.

Claims Adjuster Sr

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Individuals whose primary responsibility involves managing claim files on behalf of clients for claims service business operations, requiring independent decision making, and high level of judgment and knowledge regarding the claim handling function. Handling and supervision of complex and litigated claims with authority for settlement. Responsible for the investigation of coverage, liability, and damages, negotiating with claimants, attorneys, and other insurance carriers, through the life of a claim.

Essential Duties and Functions :

• The Claims Adjuster Sr will make themselves familiar with the Litigation Guidelines and Claims Best Practices, enforce these guidelines, and report to leadership in Claims when they are not complied with.
• Review lawsuits and formulate a plan of action with the assigned attorney. Monitor progress and keep the insured informed. Make sure all information is documented in the claim file.
• Report claims status and any mandatory exposure to the excess carrier pursuant to Claims Best Practices, the MOC and the excess carrier policies.
• Attend mediation hearings, present insurance company's position, and defend insured.
• Communicate with clients to discuss claims and recommend strategies to reduce overall exposure.
• Present clear and concise file presentation using the computer task system in Origami to track workflow.
• Other job-related projects or assignments as delegated.

Competencies :

Qualifications :

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.

Required

Physical Requirements Necessary on a Regular Basis :

Manual dexterity, arm, and upper body range of motion sufficient for use of a keyboard, mouse, and telephone on a constant basis for at least 7-10 hours per day.

Speech and hearing are sufficient for in-person and telephone communication on a constant basis for at least 7-10 hours per day.

Vision sufficient for the use of a computer monitor.

Ability to sit at a desk on a constant basis for at least 7-10 hours per day.

This job description is not meant to be an all-inclusive statement of the duties of the position listed above. Other appropriate duties may be required from time to time.

Annual Salary Range : $80,000 - $90,000

Pay Range : 80,000.00 - 90,000.00 Annual

We go beyond standard benefits, focusing on the total well-being of our teammates, including :

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, "The Power to Be Yourself".