Casualty Desk Adjuster - RGA

Sedgwick•Telecommuter CA, CA

9d•$100,000 - $120,000•Onsite

About The Position

Candidate should have at least 5 years (prefer 10+) of Public Entity and EPL(Employment Practices Liability) and/or CSA (Childhood Sexual Assault) claims handling experience. Handles complex, technically challenging claims. Adjusts claims with complex coverage issues involving liability, damages, evidence, or other complex legal issues, while providing an exceptional customer experience.

Requirements

Eight (8) years of related experience to 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.
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.
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

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