Claims Adjuster - Professional Liability

Alliant Insurance Services; San Diego (CA); On-site; USD 95,000 - 130,000; Full time

Job summary

Alliant Insurance Services is seeking an experienced claims professional to manage high exposure professional liability, litigated and general liability matters for clients in California. You will investigate, evaluate, report, maintain reserves, and drive claims toward timely resolutions.

The role requires strong communication, negotiation skills, and the ability to mentor junior adjusters while adhering to company and regulatory guidelines. Travel to site investigations may be required.

Qualifications

• High School Diploma or equivalent; 7+ years liability claims experience.
• Continued education to maintain licensure and professional development.

Responsibilities

• Maintains diary system and ensures claim files are up to date.
• Investigates and evaluates claims for liability and compensability.
• Communicates with vendors, policyholders, clients and insurers about status.
• Negotiates settlements with claimants and insureds.
• Sets and manages reserves with adequate levels.
• Creates reports and mentors junior adjusters.

Skills

Communication

Customer service

Interpersonal skills

Analytical ability

Time management

Judgment

MS Office proficiency

Education

High School Diploma or equivalent

Tools

Microsoft Office Suite (Excel/Word/Outlook)

Job description

Alliant Insurance Services is one of the nation's largest and fastest-growing insurance brokerage and consulting firms. We operate through a network of specialized national platforms and local offices to offer our clients a comprehensive portfolio of solutions built on innovative thinking and personal service. Alliant is changing the way our clients approach risk management and benefits, so they can capitalize on new opportunities to grow and protect their organizations.

More information is available on the company's website at: www.alliant.com.

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 Diploma or equivalent combination of education and experience
• Responsible for attending continuing education as
• Seven (7) or more years experience 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

We are proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including a very competitive financial package. We encourage you to explore what we have to offer.

Alliant Insurance Services, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment based on their qualifications and ability without regard to race, color, religion, sex (including pregnancy, childbirth, breastfeeding, sexual orientation, and gender identity), national origin, ancestry, physical or mental disability, medical condition, marital status, age, genetic information, or status as a protected veteran, in accordance with applicable federal, state, and local laws, including California law.

Applicants are protected under Federal law from discrimination.