Claims Adjuster Senior Liability

Gallagher•Rolling Meadows, IL

About The Position

The Senior Liability Claims Adjuster investigates, evaluates, disposes of, and settles complex claims with high exposures and minimal supervision. The role includes investigating and determining coverage, liability, and damages, and setting appropriate reserves. Adjusters exercise judgment to analyze claims exposure, choose an appropriate course of action, and settle claims. They interact extensively with parties involved in the claims process, communicate clear action plans, and present plans for moving cases toward resolution. They demonstrate thorough knowledge of the claim file process when taking actions and responding to client questions. Claims are processed in accordance with client and corporate policies, procedures, best practices, and applicable statutory, regulatory, and ethics requirements. The adjuster complies with carrier reporting and threshold requirements, recognizes and pursues excess insurance recoveries, and manages a full caseload, including cases of increased severity. Typical reserve and settlement authority is up to $10,000 for liability and/or $25,000 for workers compensation, or greater.

Requirements

High school diploma.
Five years of related claims experience.
Appropriate licensure and/or certification in all states in which claims are handled, or ability to obtain them according to local requirements.
Extensive knowledge of accepted industry standards and practices.
Computer experience with related claims and business software.
Ability to think critically, solve problems, and plan and organize activities.
Ability to serve clients, negotiate, communicate effectively verbally and in writing, and embrace new challenges.
Analytical skills to make decisions and resolve complex issues involved in handling losses.
Ability to negotiate the settlement and disposition of serious claims, including interpreting related documentation.

Nice To Haves

Bachelor's degree.

Responsibilities

Investigate, evaluate, dispose of, and settle complex claims and high-exposure cases with minimal supervision.
Investigate and determine coverage, liability, and damages, and set appropriate reserves.
Analyze claims exposure, determine an appropriate course of action, and settle claims using sound judgment.
Interact with parties involved in the claims process.
Communicate concise action plans and present plans for moving cases to conclusion.
Demonstrate knowledge of claim file processes through actions and responses to client questions.
Process claims in accordance with client and corporate policies, procedures, best practices, and applicable statutory, regulatory, and ethics requirements.
Comply with carrier reporting and threshold requirements.
Recognize and pursue excess insurance recoveries.
Manage a full caseload, including cases of increased severity.