Adjuster

• Investigate the origin and cause of complex or highly complex homeowner property/casualty claims
• Determine liability, secure information, review coverages, arrange appraisals, and settle claims
• Contact insureds, claimants, agents, attorneys, contractors, experts, special investigation units, other adjusters, and public personnel
• Identify complex issues and seek assistance as needed
• Handle third-party claims under multiple policy types and endorsements on a good-faith basis
• Conduct on-site inspections when needed and evaluate damages
• Negotiate claims with insureds, claimants, attorneys, and public adjusters
• Respond to customer inquiries, make appropriate decisions, and close files
• Interpret policies, leases, by-laws, declarations, articles, and contract coverages
• Make independent decisions, self-supervise files, and recognize when assistance is needed
• Provide parties with claim process and status updates; answer questions or redirect inquiries
• Mentor less experienced adjusters and serve as a subject matter expert
• Complete other assignments, duties, or projects as required

Senior desk adjuster handling complex homeowner liability claims for American Family Insurance

Senior Desk Adjuster, Home Liability

Senior desk adjuster investigating and settling complex homeowner liability claims for American Family Insurance. Evaluating coverage, damages, negotiations, and third-party claims from a primarily home-based role.

• Handle high-exposure commercial liability claims involving severe bodily injury, wrongful death, construction accidents, premises liability, and other catastrophic losses with exposure up to and exceeding policy limits
• Analyze insurance policies, contracts, indemnification agreements, and additional insured provisions to identify coverage defenses, tender opportunities, and risk transfer strategies
• Investigate claims, evaluate liability, and determine coverage applicability
• Manage claims through all phases of litigation, including discovery, depositions, mediation, settlement conferences, arbitration, and trial preparation
• Review evidence, expert reports, and medical documentation
• Establish, evaluate, and maintain large-loss indemnity and expense reserves based on evolving exposure and litigation strategy
• Take statements and manage claim documentation throughout the claim lifecycle
• Occasionally travel for hearings, mediations, trials, and conferences

Major Case Liability Adjuster handling litigated catastrophic claims for Berkshire Hathaway GUARD Insurance

Major Case Liability Adjuster

Major Case Liability Adjuster handling complex, litigated commercial casualty claims for Berkshire Hathaway GUARD Insurance, a nationwide property and casualty insurer. Evaluating coverage, liability, reserves, and settlements through trial preparation.

• Conduct office investigations and adjust complex commercial general liability claims that are largely litigated, with exposures up to and exceeding policy limits within the Major Case Unit
• Manage a high volume of California-based catastrophic losses and litigated matters
• Analyze insurance policies, contracts, indemnification agreements, and additional insured provisions to identify coverage defenses, tender opportunities, and risk transfer strategies
• Investigate claims, evaluate liability, and determine coverage applicability
• Manage claims through discovery, depositions, mediation, settlement conferences, arbitration, and trial preparation
• Review evidence, expert reports, and medical documentation
• Establish and maintain indemnity and expense reserves; process payments within authority
• Take statements and manage claim documentation throughout the claim lifecycle
• Occasionally travel for hearings, mediations, trials, and conferences

Major Case Liability Adjuster handling catastrophic California claims for nationwide property and casualty insurer

Major Case Liability Adjuster managing catastrophic, litigated California claims for Berkshire Hathaway GUARD Insurance Companies. Analyzing coverage, liability, reserves, and risk transfer through trial preparation.

• Evaluate and manage bodily injury claims from initial reporting to resolution including litigation, ensuring compliance with company policies and legal requirements.
• Conduct thorough investigations to assess the nature and extent of injuries, gathering relevant documentation and evidence.
• Assess and manage extra-contractual claims, ensuring proper documentation and adherence to legal and regulatory standards.
• Collaborate with medical professionals, legal teams, and clients to develop a comprehensive understanding of each case.
• Keep policyholders informed throughout the claims process, providing regular updates and addressing any questions or concerns they may have.
• Negotiate settlements with claimants and their representatives in accordance with company policies and regulatory requirements, striving for fair and equitable outcomes.
• Prepare detailed reports and documentation to support claim evaluations and settlement negotiations.
• Monitor case developments and provide updates to management and stakeholders as necessary.
• Collaborate with internal parties, legal counsel, and management, to resolve complex claims and mitigate risk.
• Maintain accurate and detailed claim files, documentation, and activity logs in accordance with company standards and industry best practices.
• Stay current with industry trends, regulations, and best practices in bodily injury claims management.
• Train and mentor junior staff on claims handling processes and strategies.

Senior Large Loss and Litigation Adjuster managing high-value bodily injury claims

Senior Large Loss and Litigation Adjuster

Senior Large Loss and Litigation Adjuster managing high-value bodily injury claims and overseeing litigated matters. Responsible for evaluating claims, negotiating settlements, and mentoring junior adjusters.

• Adjust non-attorney involved soft tissue bodily injury claims
• Identifies, confirms, and makes coverage decisions on soft tissue claims
• Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines
• Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions
• Provides advice and sets expectations into next steps to members
• Collaborates and supports team members to resolve issues and identify appropriate matters for escalation
• Partners and/or directs vendors and internal business partners to facilitate timely claims resolution
• Supports workload surges and/or Catastrophe Operations as needed

Injury Adjuster adjusting claims with USAA's military community

Injury Adjuster

Injury Adjuster at USAA adjusting non-attorney soft tissue injury claims. Provides concierge-level member service while adhering to state laws and resolving claims.

• Investigate New York liability claims and determine coverage and liability
• Review evidence, reports, and medical records to evaluate damages and set reserves
• Interview insureds, claimants, and witnesses
• Work with defense counsel and legal teams to manage litigated claims
• Manage CGL and BOP claims, including coordination with counsel and case progression
• Process indemnity and expense payments
• Maintain accurate claim documentation and support claim resolution

Complex Liability Adjuster handling Commercial General Liability claims in New York

Complex Liability Adjuster

Complex Liability Adjuster managing CGL and BOP claims for Berkshire Hathaway GUARD Insurance Companies. Investigating liabilities, coordinating with legal teams, and overseeing claims processes in New York.

• Adjust attorney-involved soft tissue and moderately complex injury claims (e.g., torn meniscus, broken bones, disc herniations) and related auto physical damage.
• Identify and confirm coverage decisions on soft tissue and moderately complex bodily injury claims.
• Investigate loss details, determine liability, evaluate, negotiate, and adjudicate claims timely with clear documentation within authority guidelines.
• Manage claims workload, keep members and parties informed, provide timely updates.
• Collaborate with team members to resolve issues and escalate when appropriate.
• Coordinate with vendors and internal partners to facilitate claim resolution.
• Deliver excellent member service with appropriate expectations and communication.
• Support workload surges and catastrophe (CAT) response including on-call duties, possible evenings, weekends, holidays.
• May travel for CAT deployments with minimal notice.
• Handle claims of higher complexity and additional duties as needed.
• Ensure effective risk management per policies and procedures.

Sr. Injury Adjuster handling moderately complex claims in Arizona

Senior Injury Adjuster

Sr. Injury Adjuster managing attorney-involved claims and providing best-in-class member service in Arizona. Requires specific auto claims expertise and a high school diploma.

Adjuster jobs in Arizona

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Senior Desk Adjuster, Home Liability

Major Case Liability Adjuster

Major Case Liability Adjuster

Senior Large Loss and Litigation Adjuster

Injury Adjuster

Complex Liability Adjuster

Senior Injury Adjuster