Senior Claims Adjuster, Specialty

Fortegra-2; Woodbridge Township (NJ); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Full benefits package including health

Company-paid disability

401(k) and tuition assistance

Job summary

Fortegra-2 is seeking an experienced Senior Specialty Claims Manager to lead complex Commercial General Liability claims and coverage disputes. You will direct strategy, manage outside counsel, and investigate to support coverage and damages analyses, while ensuring regulatory compliance and timely resolutions.

This role requires a strong analytics background, excellent communication, and a robust history with state adjuster licenses.

Qualifications

• Bachelor’s degree in Business Administration, Accounting, Finance or related field.
• At least 10 years of relevant General Liability claims experience.
• Adjuster licenses required as mandated by states.

Responsibilities

• Direct management of General Liability claims with potential for severity and complexity.
• Direct management of coverage disputes and strategies.
• Coordinate with outside counsel for litigation.
• Investigate assigned claims to complete coverage, liability, and damages analysis.
• Ensure timely disposition of claims per regulatory requirements.
• Maintain diary system to resolve claims efficiently.
• Provide recommendations on coverage, settlements, and reserves.
• Build relationships with reinsurers, underwriters, brokers, and attorneys.
• Participate in claim reviews and audits; attend depositions and trials as needed.

Skills

Excellent written and verbal

Strong analytical

Claims, litigation knowledge

Organizational & time management

Independent work ability

State adjuster licenses

Education

Bachelor's degree in Business Admin/Accounting/Finance

Tools

MS Office (Word, Excel, Outlook)

Job description

This full-time position will report to the Manager , Special ty Claims. As a direct report to the Manager , Specialty Claims, you should possess the ability to handl e a wide variety of Commercial General Liability claims . These claims will present a variety of challenges from both a damage and coverage perspective and may include coverage litigation.

Minimum Qualifications:

• A Bachelor’s degree in Business Administration, Accounting, Finance, or a related field, or the equivalent education and/or experience.
• At least 10 years of relevant and progressive experience in General Liability claims.
• Adjuster licenses, as mandated by specific states, are required.

Primary Job Functions:

Direct management of general liability claims with potential for significant severity and complexity.

Direct management of coverage disputes.

Formulating claims and litigation strategies, assigning, directing, and managing outside counsel.

Promptly investigating all assigned claims to complete coverage, liability, and damages analysis.

Ensures timely disposition of all claims in accordance with regulatory and statutory requirements.

Maintain and manage a diary system to efficiently and effectively resolve all claims.

Make recommendations to management pertaining to coverage, settlement positions and file reserves based on well supported reports.

Build and maintain key relationships with internal and external stakeholders (e.g. Reinsurers, Underwriters, Actuarial, Brokers, Attorneys, Vendors, etc.).

Participate in Claim Reviews and claim audits as needed.

Attend depositions, settlement conferences and trials when necessary

Performs other duties or special projects as required or as assigned by a supervisor as needed.

The above cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

• Excellent written and verbal communication skills.

Strong analytical skills

In-depth knowledge of claims, litigation, and trial process.

Excellent organizational and time management skills

Proficiency in MS Office (Word, Excel, Outlook)

Ability to work independently with limited supervision

Ability to successfully obtain the required state adjusters’ licenses

Additional Information:

• Full benefit package including medical, dental, life, vision, company paid short/long term disability, 401(k), tuition assistance and more.
• The anticipated salary for this position is $100,000 - $140,000 per year, based on qualifications and experience.
• Internal Notice: As part of our commitment to talent development, this position is open for internal promotion applications at the time of public posting.
• Fortegra is not accepting unsolicited resumes from search firms for this position.
• Please be aware of job fraud(s) – all correspondence emails regarding your candidacy will come from our Fortegra.com email address. Thank you.

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