Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Individuals whose primary responsibility involves managing claim files on behalf of clients for claims service business operations, requiring independent decision making, and high level of judgment and knowledge regarding the claim handling function. Handling and supervision of complex and litigated claims with authority for settlement. Responsible for the investigation of coverage, liability, and damages, negotiating with claimants, attorneys, and other insurance carriers, through the life of a claim. Essential Duties and Functions: include the following. Other duties may be assigned. The Claims Adjuster Sr will make themselves familiar with the Litigation Guidelines and Claims Best Practices, enforce these guidelines, and report to leadership in Claims when they are not complied with. Review lawsuits and formulate a plan of action with the assigned attorney. Monitor progress and keep the insured informed. Make sure all information is documented in the claim file. Report claims status and any mandatory exposure to the excess carrier pursuant to Claims Best Practices, the MOC and the excess carrier policies. Attend mediation hearings, present insurance company’s position, and defend insured. Communicate with clients to discuss claims and recommend strategies to reduce overall exposure. Present clear and concise file presentation using the computer task system in Origami to track workflow. Other job-related projects or assignments as delegated.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed