Casualty Claims Adjuster

Frankenmuth Insurance Company

1d

About The Position

Under limited supervision and using independent judgment, investigates, evaluates, and resolves or disposes of casualty claims, including bodily injury claims involving premises slips and falls and commercial or personal auto, as well as property damage claims involving general liability and construction defects. Determines the extent of company liability, which may include evaluating coverage, compensability, liability, and damages in accordance with policy provisions. The role follows corporate policies, procedures, and fair claims handling practices, and ensures legal, regulatory, and fair claims handling compliance. It also delivers customer service to policyholders and agents and may provide guidance and training to junior staff.

Requirements

• Four to six years of related experience and/or training, or a bachelor's degree from a four-year college or university, or an equivalent combination of education and related experience or training.
• Ability to work legally in the United States; visa sponsorship or support is not available, including for U.S. permanent residency processes.
• Ability to perform the essential duties satisfactorily, with reasonable accommodations available for individuals with disabilities.

Responsibilities

• Investigate claims to determine validity and extent of liability.
• Obtain information needed to investigate and evaluate claims by communicating with agents, insureds, claimants, witnesses, and others.
• Review and evaluate documentation, including applications, reports, and statements.
• Monitor claim outcomes through a self-audit process.
• Provide customer service to policyholders and agents and resolve claims service issues appropriately and promptly.
• Ensure legal, regulatory, and fair claims handling compliance.
• Set or recommend reserves based on claim investigation results.
• Manage, evaluate, and conclude claims within defined authority; prepare and maintain claim reports.
• Interact with insureds, agents, claimants, attorneys, and other service providers.
• Conduct in-depth interviews and/or scene inspections.
• Attend settlement conferences and/or trials.
• Contribute to project teams and their objectives as needed.
• Train and guide junior staff and provide input to management regarding their performance as needed.
• Perform other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level