Senior Claims Adjuster – Premises
Samazon Staffing
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Job Level
About the role
- Manage caseload of primarily litigated files of approximately 125 claims.
- Direct independent adjusters (when applicable) and defense counsel, as necessary
- Analyzes 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.
Requirements
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims managementliability assessmentsettlement negotiationreserve calculationclaims analysiscost containmentdocument gatheringdata integrityaction plan developmentsubrogation identification
Soft Skills
communicationrelationship managementindependent judgmentmentoringanalytical thinkingproblem-solvingtime managementteam collaborationattention to detailconfidentiality
Certifications
High School DiplomaBachelor's DegreeMulti-state Licensed Casualty AdjusterAIC DesignationCPCU DesignationARM Designation