General Liability Claims Adjuster – Construction Defect
Reserv
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
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 construction defect claims
- Ability to handle all aspects of general liability claims including but not limited to 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 is required.
- 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. Technology is something that should make your life easier, not harder!
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementpolicy interpretationcoverage analysisdrafting Reservation of Rights letterscomplex claims analysisdata evaluationnegotiationcustomer serviceconstruction defect claimsgeneral liability claims
Soft Skills
problem solvingcuriositycollaborationcommunicationnegotiationdecision makingcontinuous learningmotivationorganizational skillsinterpersonal skills
Certifications
Bachelor's degreeJDactive adjuster licenseDesignated Home State (DHS) licenseprofessional insurance designations