Senior Claims Adjuster, Specialty Claims

Fortegra-; Woodbridge Township (NJ); On-site; USD 90,000 - 150,000; Full time

Benefits offered by this job

Full benefits package

Job summary

Fortegra is seeking a Senior Claims Adjuster for Specialty Claims in a full-time role. You will directly manage severe and complex general liability claims, including NY Labor Law matters, and oversee coverage disputes.

The ideal candidate has at least 10 years of insurance claims experience, holds state adjuster licenses, and can develop strategies with outside counsel. Strong analytical, communication, and organizational skills are essential.

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 insurance claims, including New York Labor Law.
• Adjuster licenses, as mandated by specific states, are required.

Responsibilities

• Direct management of general liability claims, including New York Labor Law matters 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.
• Attend depositions, settlement conferences and trials when necessary.
• Performs other duties or special projects as required or as assigned by a supervisor.

Skills

Communication skills

Analytical skills

Claims & litigation knowledge

Organizational skills

Time management

Independent work

State adjuster licenses

Education

Bachelor's degree in Business Administration, Accounting, Finance, or related field

Tools

MS Office

Job description

Senior Claims Adjuster, Specialty Claims

This full-time position will report to the Director, Specialty Claims. As a direct report to the Director, Specialty Claims, you should possess the ability to handle and manage a wide variety of severity/complex claims with coverage issues as well as coverage litigation within our Commercial General Liability line of business.

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 insurance claims, including New York Labor Law.
• Adjuster licenses, as mandated by specific states, are required.

Primary Job Functions:

• Direct management of general liability claims, including New York Labor Law matters 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.
• Attend depositions, settlement conferences and trials when necessary.
• Performs other duties or special projects as required or as assigned by a supervisor.

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 $90,000 - $150,000 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.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.