Construction Defect Adjuster

Segment (Twilio); Deutschland; Vor Ort; EUR 77.118 - 105.162; Vollzeit

Benefits dieser Stelle

Comprehensive benefits package including medical, dental, vision

401k and matching

PTO and disability insurance

Zusammenfassung

Dormont Manufacturing Co in Germany is seeking an experienced CGL Claims Adjuster responsible for managing complex bodily injury and property damage claims. The ideal candidate will possess a minimum of 5 years of claims handling experience and have strong negotiation skills. This role involves proactive case management, strategic oversight on litigations, and compliance with regulations. A comprehensive benefits package is offered alongside a competitive salary, reflecting experience and location.

Qualifikationen

• Minimum of 5+ years of commercial general liability claims handling experience required.
• Experience with litigated and construction-related claims strongly preferred.

Aufgaben

• Independently investigate and manage a full caseload of CGL claims.
• Drive timely claim resolution through proactive file management.
• Manage litigated files, including direction of defense counsel.

Kenntnisse

CGL coverage, policy interpretation, and jurisdictional differences

Litigated claims management

Construction defect and risk transfer strategies

Negotiation and settlement skills

Excellent written and verbal communication

Proficiency in claims systems and Microsoft Office applications

Organization and attention to detail

Ausbildung

Bachelor’s degree or equivalent work experience

Adjuster licensing as required by jurisdiction

Jobbeschreibung

Primary Purpose

The Commercial General Liability (CGL) Claims Adjuster is responsible for the end-to-end handling of complex third‑party bodily injury and property damage claims arising under commercial general liability policies. This role requires advanced expertise in coverage analysis, liability determination, litigation management, and risk transfer, particularly across multi‑jurisdictional and construction‑related exposures. The adjuster is expected to proactively manage claim outcomes, control loss costs, and ensure compliance with client service standards, regulatory requirements, and internal quality expectations.

Essential Functions and Responsibilities

• Independently investigate and manage a full caseload of CGL claims, including premises liability, slip and fall, product liability, construction defect and construction‑related losses, and contractual liability exposures.
• Drive timely claim resolution through proactive file management, strategic planning, and adherence to best practices in diary management and documentation.
• Manage litigated files, including the retention and direction of defense counsel.
• Provide strategic oversight on litigation plans, budgets, pleadings, discovery, and dispositive motions.
• Participate in mediations, settlement conferences, and trial preparation, ensuring alignment with client and organizational strategies.
• Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders.
• Provide detailed status updates, large loss reports, and claim summaries tailored to client‑specific reporting requirements.
• Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness.
• Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards.
• Participate in internal and external audits, file reviews, and continuous improvement initiatives.
• Support organizational quality initiatives, audit programs, and operational excellence efforts.
• Contribute to process improvement, knowledge sharing, and team development activities as needed.
• Perform other duties as assigned.

Coverage Analysis & Policy Interpretation

Analyze complex policy language, including insuring agreements, endorsements, exclusions (e.g., ongoing/completed operations, additional insured provisions), and limits to determine coverage applicability.

Draft clear, defensible coverage position letters, including reservation of rights and denial letters, consistent with jurisdictional requirements and client expectations.

Liability & Damages Evaluation

Conduct comprehensive liability investigations, including:

• Review and analysis of incident reports, contracts, lease agreements, and indemnification provisions.
• Identification and application of contractual risk transfer provisions.
• Obtaining and evaluating recorded statements, expert opinions, photographs, and surveillance.
• Evaluation of injury severity, medical treatment, and long‑term exposure, including review of medical records, bills, and independent medical evaluations (IMEs) where applicable.
• Establish, maintain, and adjust reserves in accordance with claim developments and severity exposure.

Litigation Management

Negotiate settlements within delegated authority while balancing cost containment and risk exposure.

Evaluate settlement value based on liability, damages, venue, and litigation risks, and escape appropriately when exceeding authority.

Settlement & Negotiation

Identify, evaluate, and pursue risk transfer opportunities, including:

• Additional insured tenders.
• Contractual indemnity provisions.
• Subrogation potential.

Coordinate with coverage counsel, carriers, and third parties to maximize recovery and proper allocation of liability.

Client & Stakeholder Communication

Maintain proactive, professional communication with insureds, claimants, brokers, clients, and internal stakeholders.

Provide detailed status updates, large loss reports, and claim summaries tailored to client‑specific reporting requirements.

Documentation, Compliance & Quality

Maintain thorough, accurate, and timely file documentation to support claim decisions and audit readiness.

Ensure compliance with applicable state regulations, client service instructions, and internal audit and quality standards.

Participate in internal and external audits, file reviews, and continuous improvement initiatives.

Additional Functions and Responsibilities

• Support organizational quality initiatives, audit programs, and operational excellence efforts.
• Contribute to process improvement, knowledge sharing, and team development activities as needed.

Qualifications

Education & Licensing

Bachelor’s degree or equivalent work experience.

Adjuster licensing as required by jurisdiction(s) handled.

Experience

• Minimum of 5+ years of commercial general liability claims handling experience required; experience with litigated and construction-related claims strongly preferred.

Skills & Knowledge

• CGL coverage, policy interpretation, and jurisdictional differences
• Litigated claims management and working with defense counsel
• Construction defect, additional insured coverage, and risk transfer strategies
• Assessment of liability, damages, and exposure in complex loss scenarios
• Negotiation and settlement skills
• Excellent written and verbal communication, drafting coverage correspondence and client reports
• Proficiency in claims systems and Microsoft Office applications
• Organization, attention to detail, and time management
• Ability to work independently and collaboratively in a fast‑paced, team‑driven environment
• Proven ability to meet or exceed performance, quality, and compliance metrics

WORK ENVIRONMENT

• When applicable and appropriate, consideration will be given to reasonable accommodations.
• Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
• Computer keyboarding, travel as required.
• Hearing, vision and talking.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is ($88,000 - $120,000 USD annually). A comprehensive benefits package is offered including but not limited to medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.