Claims Adjuster

Strategic Staffing Solutions; Chesapeake (VA); On-site; USD 70,000 - 100,000; Full time

Job summary

A leading staffing solution provider in Chesapeake, Virginia is seeking a Claims Adjuster – Technical Adjudication. This role involves managing complex insurance claims to ensure fair resolutions. Candidates should have at least 3 years of adjudication experience and possess strong analytical and negotiation skills. Preferred qualifications include professional certifications and experience with catastrophic losses. The position offers contract employment with responsibilities in claims evaluation and negotiation.

Qualifications

• 3+ years of experience in claims adjudication across various types.
• Technical expertise in evaluating policy coverage.
• Familiarity with insurance laws and regulations.

Responsibilities

• Manage and adjudicate complex insurance claims.
• Evaluate coverage and determine appropriate claim outcomes.
• Negotiate settlements within company limits.

Skills

Claims adjudication

Analytical skills

Negotiation

Communication

Education

Bachelor’s degree or equivalent experience

Tools

Guidewire

ClaimCenter

Job description

Job Description

As a Claims Adjuster – Technical Adjudication, you will handle and adjudicate complex insurance claims, ensuring fair and accurate claim resolutions in compliance with company policies, regulatory requirements, and service standards. You will be responsible for managing end-to-end claims processes, investigating claim facts, determining coverage, assessing liability, negotiating settlements, and maintaining strong relationships with members while delivering on commitment to service excellence.

Key Responsibilities

• Review, analyze, and adjudicate assigned claims (auto, property, casualty, or specialty lines) with technical accuracy and efficiency.
• Evaluate coverage, liability, and damages to determine appropriate claim outcomes.
• Investigate claims through interviews, document review, and coordination with third-party vendors or field adjusters.
• Ensure claims decisions comply with state regulations, guidelines, and best practices.
• Negotiate settlements and manage reserve and payment authority within company limits.
• Maintain detailed documentation of claim activities and communications.
• Identify potential fraud indicators and refer as appropriate.
• Collaborate with internal partners (legal, underwriting, SIU, etc.) to ensure comprehensive resolution.
• Support process improvement initiatives and mentor junior adjusters as needed.

Required Skills & Qualifications

• Bachelor’s degree or equivalent experience.
• 3+ years of hands‑on experience in claims adjudication (property, auto, casualty, or life/health).
• Proven technical expertise in evaluating policy coverage and applying claims‑handling procedures.
• Strong analytical and problem‑solving skills with attention to detail.
• Excellent communication, negotiation, and decision‑making abilities.
• Familiarity with claims management systems (e.g., Guidewire, ClaimCenter).
• Ability to interpret and apply insurance laws, regulations, and policy language.
• Strong time management and organizational skills.
• Ability to work independently while meeting production and quality goals.

Preferred Skills

• Professional certifications such as CPCU, AIC, or SCLA.
• Experience with complex or catastrophic losses.
• Knowledge of military member insurance needs.
• Prior experience working in a regulated claims environment.

Seniority Level

Mid‑Senior level

Employment Type

Contract

Job Function

Administrative