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: include the following. Other duties may be assigned.

• 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:

• Knowledge of Claims Best Practices and Litigation Guidelines.
• General knowledge pertaining to the legal process and procedures.
• Ability to navigate through Outlook, Microsoft Teams, Excel, Origami, Word Merge, ISO Search.
• Ability to perform research on the Internet relating to claims information and data.
• Excellent oral and written communication skills and ability to work together as a team.
• Possess a positive attitude, strong interpersonal skills, organizational skills, and computer skills.
• Professional office dress is mandatory.
• Must present oneself in a professional manner, including personal hygiene and appearance.
• Regular attendance is essential and expected for the effective operation of the company.

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

• Four years general claims experience OR eight years general insurance experience.
• Must obtain AIC Designation and State License.

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

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

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

• Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more.

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.

The Power To Be Yourself

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".