General Liability Claims Adjuster

Reserv Claims

full-time

Posted on:

Location Type: Remote

Location: United States

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About the role

  • Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests
  • Gather necessary information from customers to initiate the claim and explain policy, coverage, and appropriate course of action
  • Manage an inventory of claims, analyze coverage and identify any potential coverage issues.
  • Establish initial reserves for all potential exposures, and adjust as appropriate throughout the claim
  • Ability to handle all aspects of general liability claims not limited to but including Slip and Falls, Habitational, Risk Transfer, Construction, and New York Labor Law
  • Ensure compliance with specific state regulations, policy provisions, and standard operating procedures
  • Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority
  • Provide input for continuous development of claims guidelines, best practices, and process improvements
  • Oversee and direct outside investigative service providers, client counsel and investigative services to resolve the claim while closely with the client.
  • Engage in learning opportunities to build knowledge of personal lines claims, court decisions impacting the claims function, current guidelines in claims function, and policy changes and modifications

Requirements

  • Bachelor's degree.
  • JD, Professional insurance designations strongly preferred.
  • Active adjuster license required: resident state license if available, otherwise a Designated Home State (DHS) license
  • Minimum of 5 years of experience ideally with; General Liability (Premise, Habitational, Auto, Garagekeepers, BOP’s, Dwelling) Construction Liability.
  • Construction Defect is a huge plus!
  • Employers Liability.
  • Liquor Liability/Dram Shop.
  • Complex claims involving litigation.
  • Policy interpretation.
  • Drafting Reservation of Rights letters, coverage declinations.
  • Third-party bodily injury.
  • Third-party litigated bodily injury/property damage.
  • Willing to obtain all licenses within 45 days, including completing state required testing
  • Knowledge of state regulations, policy provisions, and standard operating procedures
  • Ability to analyze and evaluate complex data and make sound decisions based on established guidelines, policies, and procedures
  • Curious and motivated by problem solving and questioning the status quo
  • Desire to engage in learning opportunities and continuous professional development
  • Ability to collaborate with colleagues within and outside your department
  • Willingness to travel for client and claims needs
Benefits
  • Generous health-insurance package with nationwide coverage, vision, & dental
  • 401(k) retirement plan with employer matching
  • Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
  • Generous family leave policy after 8 months of continuous work
  • Work from anywhere to facilitate your work life balance
  • Apple laptop, large second monitor, and other quality-of-life equipment you may want.
  • Additionally, we will listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role
  • Work toward reducing and eliminating all the administrative work from an adjuster role
  • Foster a culture of empathy, transparency, and empowerment in a remote-first environment
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
general liability claimsconstruction liabilitypolicy interpretationdrafting Reservation of Rights letterscoverage declinationsthird-party bodily injurylitigated bodily injuryclaims managementdata analysisnegotiation
Soft Skills
customer serviceproblem solvingcollaborationcommunicationcontinuous professional developmentcuriositymotivationdecision makingadaptabilityleadership
Certifications
Bachelor's degreeJDactive adjuster licenseProfessional insurance designations