Requisition General Liability Claim Specialist

Overview

The Claims Adjuster III is responsible for the prompt and efficient examination, investigation, and settlement or declination of insurance claims through effective research, negotiation, and interaction with insureds and claimants, ensuring that company resources are utilized in a cost-effective manner in the process.

Responsibilities

Maintains appropriate financial accountabilities (reserving) and controls loss adjustment expenses.

Responsible for handling moderate-to-high complexity commercial general liability losses, including litigated claims.

Makes timely and appropriate contacts with interested parties, including, but not limited to the insured, claimant / attorney, witnesses, and producers.

Determines, reviews, and analyzes coverages that may or may not apply to the claim; plans, executes, and reviews investigations-coverage, liability, and / or damages including the securing of a signed or recorded statement of the insured, claimant, and / or witnesses.

Discusses possible coverage issues with supervisor and drafts coverage positions as applicable. Obtains medical records and reports; police ambulance and agency reports; photographs and measurements; and, expert assistance / testimony.

Applies facts, as determined by contacts and investigation, to the law of a particular jurisdiction to properly evaluate exposure.

Establishes indemnity and expense reserves as the claim transpires.

Controls and manages claims-related expenses; determines and executes plans of action to resolution, including the avoidance / minimization of litigation.

Works with and actively monitors and manages defense counsel.

Minimizes losses through identification of subrogation and prompt disposition.

Identifies issues (coverage, liability, damages, handling), seeks appropriate guidance, and communicates pursuant to authority structure.

Determines and fulfills reporting requirements to supervisor / manager, Home Office, SIU, client companies, and reinsurers.

Qualifications

7+ years of claims handling experience, preferably within the commercial general liability space.

Experience adjusting litigated files.

State licensure as required.

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include : Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion, or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain, and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate, and how we see our future.