Sr Claims Adjuster - Premises

Samazon Staffing; Town of Texas (WI); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical - UHC

401K plus match

Job summary

A reputable staffing agency is seeking a remote claims adjuster with extensive experience in handling catastrophic commercial general liability claims. Responsibilities include managing a caseload of litigated files, negotiating settlements, and ensuring timely resolutions. Candidates must possess 7-10+ years of related experience, an active multi-state license, and be detail-oriented. Ideal for individuals who thrive in fast-paced environments and are proactive problem solvers.

Qualifications

• 7-10+ years of experience handling catastrophic level commercial general liability claims.
• Litigated claims experience imperative.
• Active license is required (multi-state).
• Real estate/multi-family experience claims handling experience highly preferred.

Responsibilities

• Manage caseload of primarily litigated files of approximately 125 claims.
• Direct independent adjusters and defense counsel as necessary.
• Investigate and gather information to determine the exposure on each claim.
• Negotiate settlement of claims up to designated authority level.

Skills

Typing (min 65 wpm)

Experience with automated claims handling systems (RMIS)

Extensive understanding of contractual relationships and language

Education

High School Diploma

Bachelor's Degree from an accredited college or university

Multi-state Licensed Casualty Adjuster

AIC/CPCU/ARM Designation

Job description

Reputable company located in Houston but position is remote. If you are located in Houston, it is a plus but not required.

TPA Carrier experience a plus. You will be handling the following type of of claims:

• Wrongful death
• Slip and Fall
• Habitability
• Personal Injury
• Sexual assault
• Trip and Fall

Responsibilities

• Manage caseload of primarily litigated files of approximately 125 claims.
• Direct independent adjusters (when applicable) and defense counsel, as necessary
• Anlyzes and processes complex or technically difficult commercial general liability claims by investigating and gathering information to determine the exposure on the claim
• Investigates, analyzes, determines potential liability, and effectively settles with adverse parties.
• Manages claims through well-developed action plans to an appropriate and timely resolution
• Assesses liability, gather investigative information and resolve claims within evaluation
• Negotiates settlement of claims up to designated authority level, request authority timely, as needed
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim
• Approve and makes timely claim payments and adjustments, and settles claims within designated authority level
• Assist litigation manager with the litigation process; ensures timely and cost-effective claims resolution
• Uses appropriate cost containment techniques
• Communicate claim activity with the appropriate parties (supervisor, broker, agent, client)
• Cultivate and maintain professional client relationships
• Participate in monthly claim round table and reserve committee
• Audit files to ensure field completion and data integrity
• Prepare Claim Analysis Reports for all claim reviews (internal/external)
• Complete Plan of Action, Status Updates, Reserve Properly,
• Request all pertinent documents and audit files for closure, field completion, document gathering, financials, etc.
• Request settlement authority and checks
• Identify tender and subrogation opportunities
• Attend mediations, if merited (rare travel, if any).
• Exercises sufficient and independent judgment to settle cases prior to mediation and/or litigation.
• Obtains all necessary documentation from the appropriate parties within established timelines.
• Remains abreast of new case law and statutes.
• Maintains confidentiality of information processed.
• Ensure the maintenance of the data integrity of our RMIS
• Mentors team members.
• Completes other duties and special projects as requested.

Experience

• 7-10+ years of experience handling catastrophic level commercial general liability claims
• Litigated claims experience imperative
• Active license is required (multi-state)
• Real estate/multi-family experience claims handling experience highly preferred
• Comprehensive understanding of General Laws in multi states

Required Characteristics

• Must share our core values
• Must be reliable and dependable
• Must enjoy finding and proposing solutions to problems
• Must thrive in a fast pace, deadline driven environment
• Must be willing to self-learn in addition to taking direction (work independently and as a team)
• Must be comfortable with working on new and sometimes unfamiliar problems. Ability to problem solve and find solutions/answers
• Must be self-motivated, proactive, and detail oriented
• Must be respectful to all colleagues and clients and contribute to a fun, happy and team building atmosphere.

Skills

• Typing (min 65 wpm)
• Experience with automated claims handling systems (RMIS) (paperless environment)
• Extensive understanding of contractual relationships and language

Education

• Required - High School Diploma
• Required - Bachelor's Degree from an accredited college or university
• Required – Multi-state Licensed Casualty Adjuster
• AIC/CPCU/ARM Designation highly preferred

Benefits

• Medical - UHC
• 401K plus match