Claims Adjuster - Professional Liability

Colonial Group; Greenwood Village (CO); On-site; USD 65,000 - 85,000; Full time

Job summary

Colonial Group is seeking an experienced liability claims professional to manage high exposure claims and related litigation, including commercial injury, non-injury general liability and auto claims.

You will investigate, evaluate, and report claims, maintain reserves, and coordinate with authorities, vendors, and insureds. The role requires leadership, mentoring, and travel for on-site investigations as needed.

Qualifications

• High School Diploma or equivalent combination of education and experience.
• Seven (7) or more years experience in liability claims processing.

Responsibilities

• Maintains diary system to ensure claim files are up to date, and that required follow-up is taking place.
• Investigates and evaluates claims to determine liability and compensability.
• Communicates with vendors, producers, policy holders, clients and insurance companies to communicate claim status.
• Negotiates settlements with claimants and insureds.
• Reports to authorities as applicable, providing updates on litigated claims, serious injuries, and claims over the adjuster's authorization limits.
• Sets and manages reserve accounts, and ensures that adequate levels are maintained.
• Analyzes and reviews invoices for payment.
• Provides producer inquiry assistance.
• Provides set-up of rental vehicles for clients as needed.
• Creates and maintains reports and worksheets as needed.
• Provides training and mentoring to less experienced adjusters.
• Travels as necessary to attend appeal hearings, trials, and perform on-site investigations.
• May act as backup for Supervisor on an as needed basis.
• Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);
• Other duties as assigned.

Skills

Verbal communication

Written communication

Customer service

Interpersonal skills

Leadership

Analytical thinking

Problem solving

Time management

Discretion

Independent judgment

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite

Excel

Word

Outlook

Job description

SUMMARY

Responsible for handling high exposure professional liability and litigated claims, as well as commercial injury and non-injury general liability and automobile claims, in accordance with client, carrier and company guidelines, statutory regulations and best practices. Primary duties include investigating, evaluating, reporting to authorities as applicable, and maintaining adequate reserves. Manages claims through well-developed action plans to an appropriate and timely resolution.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Maintains diary system to ensure claim files are up to date, and that required follow-up is taking place;

Investigates and evaluates claims to determine liability and compensability;

Communicates with vendors, producers, policy holders, clients and insurance companies to communicate claim status;

Negotiates settlements with claimants and insureds;

Reports to authorities as applicable, providing updates on litigated claims, serious injuries, and claims over the adjuster's authorization limits;

Sets and manages reserve accounts, and ensures that adequate levels are maintained;

Analyzes and reviews invoices for payment;

Provides producer inquiry assistance;

Provides set-up of rental vehicles for clients as needed;

Creates and maintains reports and worksheets as needed;

Provides training and mentoring to less experienced adjusters;

Travels as necessary to attend appeal hearings, trials, and perform on-site investigations;

May act as backup for Supervisor on an as needed basis;

Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information);

Other duties as assigned.

QUALIFICATIONS

EDUCATION / EXPERIENCE

High School Diplomaor equivalent combination of education and experience

Responsible for attending continuing education as

Seven (7) or more yearsexperience in liability claims processing

SKILLS

Excellent verbal and written communication skills, including telephone and listening skills

Excellent customer service skills

Excellent interpersonal and leadership skills

Strong analytical skills and problem solving skills

Strong organizational and time management skills

Discretion and independent judgment required

Proficient in Microsoft Office Suite - Excel, Word, Outlook#LI-DR1