ASCIP Liability Desk Adjuster

Sedgwick•Telecommuter CA, CA

4d•Remote

About The Position

This role involves handling complex, technically challenging liability claims, particularly within the Public Entity and EPL (Employment Practices Liability) and/or CSA (Childhood Sexual Assault) sectors. The candidate will adjust claims with intricate coverage issues, focusing on liability, damages, evidence, and other complex legal matters, all while ensuring an exceptional customer experience. The position requires developing exposures, evaluating injury claims based on damages, the insurance contract, company policies, and state laws. It also involves investigating and evaluating coverage, liability, and damages for serious and catastrophic injuries, managing defense counsel in litigation, and formulating effective plans to resolve claims while minimizing indemnity and expense leakage. The role includes drafting coverage letters, maintaining proper reserves, and potentially traveling as required.

Requirements

At least 5 years (prefer 10+) of Public Entity and EPL (Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience.
Eight (8) years of related experience to include experience in personal lines claims, evaluating coverage and drafting coverage letters to include both reservation of rights and coverage denials, or equivalent combination of education and experience required.
State mandated adjusting licenses as required.
Exposure to and knowledge of affluent market segment
Strong knowledge of tort theories, legal concepts, negotiation strategies, and litigation management
Excellent oral and written communication skills, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Excellent interpersonal skills
Excellent negotiating skills
Ability to create and complete comprehensive, accurate and constructive written reports
Ability to work in a team environment
Ability to meet or exceed Performance Competencies

Nice To Haves

Bachelor's degree from an accredited college or university preferred.
Insurance designations such as CPCU, AIC, ARM preferred.
Experience with commercial lines claims and litigation in multiple states preferred.

Responsibilities

Develops exposures and evaluates injury claims based on damages, the insurance contract, company policies, and applicable state laws.
Investigates and evaluates coverage, liability and damages in handling of claims involving serious and catastrophic injuries, coverage, and other legal issues.
Ensures timely referral of suits to counsel and evaluates changes in exposure through the course of discovery, considering costs and strategic plan of actions to prepare for trial or determine settlement capability.
Responsible for managing defense counsel in litigation of serious and complex claim, litigated claims as well as complex coverage scenarios; manages defense counsel in litigation of serious and complex claims.
Formulates effective plans to bring the claims to resolution while focusing on indemnity and expense leakage.
Evaluates coverage and drafts coverage letters to include both reservation of rights and coverage denials.
Maintains proper reserves on all pending claims.
Performs other duties as assigned.
Travel as required