Litigation Claims Adjuster – Complex

Jobtailor; Deutschland; Remote; EUR 68.000 - 104.000; Vollzeit

Zusammenfassung

Jobtailor is seeking an experienced Claims Manager to oversee complex claim disputes and regulatory compliance. The role requires collaboration with brokers, legal counsel, and underwriters to determine fair outcomes and mitigate risk.

The ideal candidate will bring extensive experience in litigated auto/trucking and catastrophic injury claims, with strong negotiation and analytical skills. A bachelor’s degree in a related field is preferred, along with active licenses in applicable

Qualifikationen

• 5+ years of experience handling claims, preferably in specialty or complex lines.
• Experience handling litigated commercial auto/trucking claims and catastrophic injury/wrongful death claims.
• Proficiency with regulatory requirements and licenses in U.S. states where applicable.

Aufgaben

• Investigate, assess, and resolve complex claims within authority limits.
• Analyze policy coverage and liability to determine outcomes.
• Develop and execute strategies to mitigate financial risk exposure.
• Collaborate with legal counsel, underwriters, and external vendors.
• Prepare comprehensive reports and documentation for claim decisions.
• Ensure regulatory compliance and reporting standards are met.
• Manage communications with clients, brokers, and internal stakeholders throughout the claims process.
• Participate in audits and quality control reviews.
• Mentor and guide less experienced team members.

Kenntnisse

Claims Analysis

Risk Assessment

Policy Interpretation

Adjudication Techniques

Financial Risk Mitigation

Complex Claims Management

Litigated Claims Handling

Catastrophic Injury Claims

Wrongful Death Claims

FMCSA Regulations

Ausbildung

Bachelor’s degree in business, insurance, risk management, or related field

Tools

Claims Management Systems

Technology Platforms

Jobbeschreibung

Responsibilities

• Investigate, assess, and resolve complex claims within authority limits
• Analyze policy coverage and liability to determine appropriate claim outcomes
• Develop and execute strategies to mitigate potential financial risk exposure
• Collaborate with legal counsel, underwriters, and external vendors
• Prepare comprehensive reports and documentation for claim decisions
• Ensure all regulatory requirements and compliance standards are met
• Manage communications with clients, brokers, and internal stakeholders throughout the claims process
• Participate in audits and quality control reviews
• Contribute to process improvement initiatives within the claims department
• Mentor and provide guidance to less experienced team members

Requirements

• English language fluency required
• 5 or more years of experience handling claims, preferably in specialty or complex lines
• Demonstrated expertise in managing complex or high-risk claims scenarios
• Experience working with brokers, legal professionals, and regulatory agencies
• Must hold and maintain all required licenses in all U.S. states where licensing is required to perform the duties
• Bachelor’s degree in business, insurance, risk management, or related field is preferred
• Experience handling litigated commercial auto/trucking claims
• Experience with catastrophic injury and wrongful death claims
• Advanced claims analysis and adjudication techniques
• Knowledge of FMCSA regulations and transportation industry operations
• Strong negotiation and settlement skills
• Proficiency in policy interpretation, risk assessment, and regulatory compliance
• Proficiency with claims management systems and related technology platforms

Core Competencies

Demonstrates expertise in managing complex claims, including litigated commercial auto/trucking claims and catastrophic injury cases, while ensuring compliance with regulatory standards. Proficient in claims analysis, risk assessment, and effective communication with stakeholders.

Highest-signal resume keywords

• Claims Management
• Complex Claims Handling
• Regulatory Compliance
• Negotiation Skills
• Claims Analysis

Hard Skills

• Claims Analysis
• Risk Assessment
• Policy Interpretation
• Adjudication Techniques
• Financial Risk Mitigation
• Complex Claims Management
• Litigated Claims Handling
• Catastrophic Injury Claims
• Wrongful Death Claims
• FMCSA Regulations

Soft Skills

• Communication Skills
• Mentoring
• Collaboration
• Negotiation Skills
• Process Improvement

Certifications & Qualifications

• Required Licenses in U.S. States

Industry Keywords

• Insurance
• Risk Management
• Transportation Industry Operations
• Regulatory Agencies
• Brokers
• Legal Counsel

Tools & Technologies

• Claims Management Systems
• Technology Platforms