Adjuster

• 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.

• Investigate and analyze complex, multi-discipline coverage and claims referred to the Special Investigation Unit for potential fraud
• Conduct background searches, scene investigations, clinic inspections, recorded statements, witness interviews, and social media searches
• Conduct surveillance on property and create scene reconstructions on some investigations
• Review whether fraud can be substantiated and support lawsuits
• Enter SIU claim data into multiple SIU systems
• Review investigations with fraud outcomes and validate whether denial is appropriate
• Update files with investigation outcomes and return files for further handling when fraud or sufficient evidence is not found
• Conduct complex online data searches, research, evaluation, and site inspections
• Determine whether payment is warranted on potentially fraudulent claims
• Validate information obtained through investigations and follow up on possible leads
• Summarize documents and document claim files with notes, evaluations, and decision-making processes
• Utilize analytic tools and SIU field intelligence to identify complex claims and support evidence of fraud and damages
• Research and respond to complex customer communications, concerns, conflicts, or issues
• Provide work guidance, mentoring, and coaching to less senior employees and the team

Field SIU Adjuster investigating insurance fraud claims for National General

Field SIU Adjuster

Field SIU Adjuster investigating complex insurance fraud claims for National General, a provider of auto, home, health, and specialty insurance. Conducting surveillance, interviews, evidence analysis, and claim determinations.

• Create comprehensive estimates of damages for first- and third-party material damage claims
• Support the Claims team in the South San Diego territory
• Handle claims virtually and in the field throughout the South San Diego area
• Conduct vehicle inspections
• Use CCC ONE estimating software to prepare accurate damage estimates
• Work closely with repair facilities and customers
• Build relationships with internal and external customers
• Apply regulatory compliance and fair claims practices
• Negotiate settlements, make settlement payments, and document activities within escalated authority limits
• Understand the content of all policy types written by the company
• Create estimates of damages on first- and third-party material damage losses

Field auto appraiser assessing vehicle damage claims for National General insurance customers

Field Auto Adjuster

Field auto appraiser assessing vehicle damage claims for National General, a personal and commercial insurance provider. Handling inspections, estimates, settlements, and customer relationships across South San Diego.

• Handle complex auto damage claims using technical and industry knowledge
• Promptly and accurately settle claims
• Deliver excellent customer service
• Apply attention to detail and decision-making skills when evaluating claims
• Communicate effectively with customers and relevant parties verbally and in writing
• Work flexibly across remote, field, and in-office settings as required

Auto Damage Adjuster settling complex claims for GEICO, a major U.S. auto insurer

Auto Damage Adjuster – Field

Auto Damage Adjuster handling complex claims for GEICO, a major U.S. auto insurer.
Delivering accurate settlements and customer service across remote, field, and in-office work settings.

• 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.

• Assess vehicle damage and conduct on‑site inspections
• Document losses and write repair estimates
• Manage estimating process including supplements and negotiations
• Maintain thorough documentation and communicate with customers and partners

Auto Field Adjuster assessing vehicle damage for insurance claims

Auto Field Adjuster

Auto Field Adjuster assessing vehicle damage and managing insurance claims processes for National General. Focused on customer service and independent field assessments in California area.

• Assess coverage and review claims for purposes of investigations, action plans, evaluation, fraud, and claim resolution
• Complete quality investigations by gathering pertinent information
• Conduct thorough analysis of liability and continually assess exposure and evaluate for accurate reserves
• Work toward the resolution of claims files and take full charge of claim from inception to resolution
• Ensure that claims payments calculated accurately and are issued in a timely and accurate manner
• Ensures compliance of claims handling pursuant to all state, legal, statutory, and regulatory bodies
• Maintain a diary to follow claim progress on all claims
• Determine liability for permanent disability, mitigation of costs and resolution of claim
• Oversee litigation and coordination of claim with defense team

Senior Lost Time Adjuster responsible for handling workers' compensation claims in California

Senior Lost Time Adjuster

Senior Lost Time Adjuster responsible for managing workers' compensation claims at Acrisure, a global fintech leader. Knowledgeable of California Labor Code and proficient in claim investigations and resolutions.

• The Adjuster III investigates, evaluates, and adjusts assigned claims, which typically consist of medium to complex non-litigated and litigated general liability, third-party automobile bodily injury and property damage claims.
• Must be qualified legally and technically to handle all claims competently and able to handle more complex, litigated claims.
• Investigate, analyze, and determine the extent of the client’s liability concerning personal, casualty, or property loss or damages.
• Correspond with or interview employees of the client, medical specialists, agents, witnesses, or claimants to compile information.
• Obtain all necessary reports and documents to analyze and evaluate the loss or damages and attempt to effect settlements with claimants when appropriate.
• Assess and estimate vehicle damage or property damage.
• Compile information through interviews. Examine evidence to determine if it will support claims.
• Gather physical evidence and inspect properties to determine damages.

Adjuster III investigating and adjusting general liability claims for George Hills Company

Senior Adjuster

Adjuster III investigating, evaluating, and adjusting complex general liability claims for George Hills Company. Responsible for claims management, litigation support, and client correspondence.

Adjuster jobs in California

See all jobs on JobTailor

Major Case Liability Adjuster

Major Case Liability Adjuster

Field SIU Adjuster

Field Auto Adjuster

Auto Damage Adjuster – Field

Senior Large Loss and Litigation Adjuster

Auto Field Adjuster

Senior Lost Time Adjuster

Senior Adjuster